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Paulus Engineering, Inc. - 2016-12-19
r-.. --•. ,sic"."W_ t7^. tiw.,' ...h,r:,.'s RECEIVED/BY: CITY CLERK RECEIPT COPY � Return DUPLICATE to rx J City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: X lq l,),OJ 7 � r SUBJECT: Bond Acceptance I have received the bonds for "" 'G� (Compariy Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. �rl� TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Date) CC No. d 7 Agenda Item No. MSC No. City Clerk Vault No. kao - Other No. SIRE System ID No. C� �� Td--- g:/forms/bond transmittal to treasurer �, CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION DATE: 7/24/2017 TO: THOSE LISTED HEREON FROM: Andy Ferrigno, Senior Civil Engineer SUBJECT: Retention Release Payment- PO#22590 OJ Supplier#21584 Co.#507 Bolsa Chica Waterline Extension Project, Project#CC 1389 Contractor's Name: Paulus Engineering, Inc. Address: 2871 E. Coronado St City, State and Zip Code: Anaheim, CA 92806 Phone Number: 714-632-3975 City Business License Number: A187410 Notice of Completion (Date by City Clerk): 6/19/2017 The conformed copy of the Notice of Completion for the above contract has been filed. The thirty-five (35) day waiting period has elapsed or will elapse before payment is made. Processing of the retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City. I certify that no stop notices are on file. ate ravis . ins, Director of Public Works I certify that there are no outstanding invoices on file. Date Joyce'Zacks, �e uty City Treasurer I certify that no stop notices are on file, and that a guaranty bond has been filed with the City Clerk's Office. 17 Date Robin Estanislau, City Clerk Attachments 1. Notice of Completion 2. Maintenance Bond 3. Certificate of Compliance with Prevailing Wage Laws 4. Contractor's Certificate 5. Certificate of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 6. Consent for Release letter from the Surety Company RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds for A /7"G(-1 �;:IAJ (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. � / TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Date) CC No. Agenda Item No. MSC No. City Clerk Vault No. D • S� Other No. SIRE System ID No. c7 �� -- g:/forms/bond transmittal to treasurer • :CECUTED IN TWO COUNTERPARTS BOND# 2208641 PREMIUM: INCLUDED IN PERFORMANCE BOND MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: That PAULUS ENGINEERING, INC. (contractor's name) 2871 E. CORONADO STREET ANAHEIM, CA 92806 (contractor's street address,city and state and zip code) as Principal (hereinafter called Contractor), and: NORTH AMERICAN SPECIALTY INSURANCE COMPANY (surety's name) 6 HUTTON CENTRE DRIVE STE. 850 SANTA ANA, CA 92707 (surety's street address, city and state and zip code) a corporation organized and existing under the laws of the State of NEW HAMPSHIRE with its principal office in the City of SANTA ANA, CA as Surety(hereinafter called Surety),are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of ** Dollars ($ 156,504.00 ), equivalent to the entire contract amount including all change orders, for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators,successors, and assigns, jointly and severally.firmlv by these presents, ** ONE HUNDRED FIFTY—SIX THOUSAND FIVE HUNDRED FOUR DOLLARS & NO/100' S WHEREAS, Surety is a duly admitted surety insurer under the laws of the State of California; and Surety is certified and listed in the U.S. Department of the Treasury Circular 570,and able to provide proof of bonding limitation shown in said circular is sufficient to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M. Best, Moody's,Standard & Poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the Califomia Department of Insurance;and Contractor has by written agreement dated ,20 entered into a contract with Owner for the CC NO. 1389 8—INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE AND GRAHAM STREET accordance with drawings and specifications prepared by which contract is by reference made a part hereof(hereinafter referred to as the Contract); and The Contract provides that the principal will guarantee, for a period of one year, the work performed as part of the Contract from and against all defects in materials and workmanship;and The Contract also provides that the Contractor shall secure Contractor's obligations during the one-year period with a bond executed by a surety duly admitted in the state of California; and The Contract has been completed, and the Owner, Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be JUNE 14 ,2017, NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this obligation shall be null and void;otherwise it will remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety shall, within thirty (30) days following Owner's written notice of default, either: (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions. Surety shall save the Owner harmless from any claims,judgments, liens or losses arising from the Surety's failure to either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner. 1545841118138 1 Whenever the Principal shall be, and declared by the Owner to be in default under the Contract, which shall include without limitation, any breach or default of the Contract, then, after written notice from the Owner to the Surety, as provided for below,the Surety shall either: (a)remedy the default or breach by the Principal;or(b)shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Principal,at its own expense, and make available as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract including other costs and damages for which the surety may be liable hereunder, provided, however, that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval of the Owner. Within thirty (30) days after Surety's receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, it shall be the duty of the Surety to give to the Owner a notice, in writing, of the Surety's election to(a) remedy the default(s)of the Principal promptly,or(b)arrange for performance of the Contract promptly by a contractor other than the Principal, time being of essence to this Bond. In said Notice of Election, the Surety shall state the date of commencement of its cure or remedy of the Principal's default(s) or its performance of the Contract. The Surety's obligations for cure or remedy, include but are not limited to: correction of defective work and completion of the Contract, additional legal, design professional and delay costs arising from Surety's actions or failure to act; and liquidated damages (or if no liquidated damages are specified in the Contract, actual damages caused by delayed performance or non-performance by the Principal). The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's default(s)of its performance of the Contract. If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's default(s)of its performance of the Work within thirty(30) days after receipt of a written notice from Owner, Surety shall be deemed to be in default on this bond,and the Owner shall be entitled to enforce any remedy available to Owner. No right of action shall accrue on this bond to or for the use of any person or corporation other than the owner named herein or the successors of Owner. Signed and sealed this 2 0 H day of TUNE 120 17 Principal Raised Corporate Seal PAULUS ENGINEERING, INC. [MUST BE AFFIXED] / ntractor Name) By: (Seal) Principal Raised Corporate Seal A.5 ITY%v [MUST BE AFFIXED] _�'-2£51�7. ENl (Title) NORTH AMERICAN SPECIALTY INSURANCE COMPANY �r ) By RLES E ATTORN —IN—FACT APPROVED AS j� R/MI Bw NOTES: .Michael E. Gates, City Attorney / 1. Acknowledgments must be completed and returned F � f as part of the bond. ` 2. Raised Corporate Seats are mandatory. 3. Please attach Power of Attorney. 15-4584/118138 2 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy or validity of the document. III State of California County of Orange } On June 20, 2017 before me, Cynthia J. Valencia, Notary Public personally appeared Jason Paulus who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph �i is true and correct. it WITNES y hand and official seal. CYNTHIA J.VALENCIA Commission#2127262 Notary Public-California z Signatu o otary Public (Notary Seal) = Orange County My Comm.Expires Oct 15,2019 ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT CAPACITY CLAIMED BY THE SIGNER Title or description of attached document Individual Corporate Officer X /Title President/See Number of pages Document Date Partner Attorney-In-Fact Trustee Other Additional Information i CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On 6-20-17 before me, Lexie Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Charles L. Flake Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. LEXIE SHERWOOD I certify under PENALTY OF PERJURY under the laws of COMM.#2031782 G) the St to of California that the foregoing paragraph is true NOTARY PUBLIC*CALIFORNIA j ORANGE COUNTY and correct. Comm.Exp.JULY 27,2017 Witness my hand and fficial se 1 Signaturev Place Notary Seal Above Signature of N ary Public Lexie Sherwood OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑ General ❑ Attorney in Fact ❑ Attorney in Fact ❑ Trustee OF ❑ Trustee • ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: — ----- --- --- ._.._... - __..._..._...........-._.........................._......_........ -._.._.. _..--.._.................._....... -- —..._... ._.._..__....__........... --- -- -t 1 fi t NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY K WASHINGTON INTERNATIONAL INSURANCE COMPANY I GENERAL POWER OF ATTORNEY ° t KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under s laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of i Schaumburg,Illinois,each does hereby make,constitute and appoint: € DAVID L.CULBERTSON,CHARLES L.FLAKE,RICHARD A.COON,SPENCER FLAKE i and LEXIE SHERWOOD JOINTLY OR SEVERALLY Its taste and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings E obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the r amount of: FIFTY MILLION($50,000,000.00)DOLLARS 1 This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of I Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held i on the 91h of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, r the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." (( i4111111ffp tlONw,pununounarb_ C gj�eto. j F: By e ? SEAL�s 1 SEAL ,A a Steven P.Anderson,Scnlor Vlce President of Washington International Insurance Company 2:, F c tm,sEfx 1913 ttr+ej` &Sculor Vice President of North American Specialty Insurance Company m-.e Fy �v NO By +anon+uNwo David M.Layman,Vice President of Washingtou Inicrnuttonai Insurance Company &Vice President of North American specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Com 7 u[pany have,caused their , official seals to be hereunto affixed,and these presents to be signed by their authorized officers this l7th day of y 12014 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 17th day of July 2014 ,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies, f� "OFFIt?IAL SEAL.." fit pitR ��� Zn O DONNA D.SKLENS Notary Public,State of Illinois Donna D.Sklens,Notary Public My coroaiission Expires;Ip(0=15 . I i I, Jeffrey Goldberg the duly elected Assistant Secretes of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this2 oth day of juunneQ 20 17, j Jeffrey Goldberg,Vice President&Assistant Secretary of Washington international I=ranca Company&North American specialty insurance Company Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: M1 Project: nsi The undersigned contractor on the above-referenced project ("Project")hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular classification of work, as set forth in the wage-rate determinations of the State of California, Department of Industrial Relations, and/or the United States Department of Labor. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this day of 20 , at California. /its L iY1 /I< L . (Contractor Name) 1__177 APPROVEDfAS,TO FORl1!.I By: / M/chael E. Gates Gity Attorney 1 CONTRACTOR'S CERTIFICATE / state and certify that: (Name of Declarant) is the general contractor to the City of Huntington Beach ("City") on Contract No. .3 (the "Contract") for the construction of the public work of improvement entitled: A�1 �lri� � r61 (the"Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents (as such term is defined in the Contract). 3. Except for the claims listed below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, materials and equipment to the Project, including all claims against the contractor arising from the performance of the Contract, have been paid and satisfied (list unpaid debts and claims; if none, write "NONE"): XI U-0{ 4. Attached hereto are the lien waivers required by the Contract Documents, which lien waivers have been executed by all persons who performed work on or supplied labor, services, materials, and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of California(list all disputed claims; if none, write "NONE"). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. � , Executed at l 7 on this day of���(��� 20_ 7. (Signature of Declarant) APPROVED AS T.O,FORM i Michael,E. Gates City Attorney 1 Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: C� P-5 / Project: jC. ll�/YID J, S/azz The undersigned contractor on the above-referenced project ("Project") hereby certifies that it has complied with title VII of the Civil Rights Act, the Equal Opportunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establishments on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age or disability (with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this �� day of / (,C2u , 20 , at California. (Contractor Name) APPROVED �1S TO FORM 4 , By: Michael E. Gates City Attorney 1 . ._ CUTED IN TWO COUNTERPARTS CONSENT OF OWNER SURETY COMPANY ARCHITECT ❑ Bond# 2208641 CONTRACTOR TO FINAL PAYMENT SURETY OTHER IL AIA DOCUMENT G707 PROJECT: CC NO. 1389 8-Inch Water Main Extension Project on State Lands Allstone (name, address)Dr.ive & Graham Street TO(Owner) City of Huntington Beach 2000 Main Street ARCHITECT'S PROJECT NO: CC NO. 1389 Huntington Beach, CA 92648 CONTRACT FOR: Water Main Extension Project CONTRACT DATE: 2016 Final Contract Amt. ; $156, 504 TRACTOR: Paulus Engineering, Inc. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety as it appears in the bond). North American Specialty Insurance Company 6 Hutton Centre Drive, Ste. 850, Santa Ana, CA 92707 SURETY COMPANY, on bond Of(here insert name and address of Contractor) Paulus Engineering, Inc. 2871 E. Coronado Street, Anaheim, CA 92806 CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Owner) City of Huntington Beach 2000 Main Street, Huntington Beach, CA 92648 OWNERS, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, North American Specialty Insurance Company the Surety Company has hereunto set its hand this 20th day of June 20 17 North Amerman Specialty Insurance Company Surety mp ny Signature of AuttWhze epresentative Attest: Charles L. Flake / Attorney-In-Fact (Seal): Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,Current Edition AIA DOCUMENT G707•CONSENT OF SURETY COMPANY TO FINAL PAYMENT•APRIL 1970 EDITION AIA0 ONE PAGE ©1970 THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20006 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On 6-20-17 before me, Lexie Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Charles L. Flake Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), _ and that by his/her/their signature(s) on the instrument the LEX OUu } person(s), or the entity upon behalf of which the person(s) H: COMS #2RWO acted, executed the instrument. NOTARY PUBLIC*CALIFORNIA i a ORANGE COUNTY I certifyunder PENALTY OF PERJURY under the laws of is�: ' Comm.Exp.JULY 27,2017 the State of California that the foregoing paragraph is true and correct. Witness my hand an o,Icial seal. / Signature Place Notary Seal Above Signature of Pubr Lexie Sherwood OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑General ❑ Attorney in Fact ME ❑ Attorney in Fact ❑ Trustee ❑ Trustee • ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: f i NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY s WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of f Schaumburg,Illinois,each does hereby make,constitute and appoint: DAVID L.CULBERTSON,CHARLES L.FLAKE,RICHARD A.COON,SPENCER FLAKE 3 and LEXIE SHERWOOD JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings i obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS k This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held E on the 9th of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the sea]of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile sea]shall be , binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached," al p g 4OW11 filellj munuu�u,oard,. , SQ GONi�ORAA:,('4By ��yA➢ ,„`� U.e' S�tl_�•:O~ Seven P.Anderson,Senior Vice President of Washington lnfernational Insurance Company 8 L &Senior Vice Presideot of North American Specialty Insurance Company t p F /nnulmt By nm,aww David M.Layman,Vice President of Washington Intcraallonal insurance Company &Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seats to be hereunto affixed,and these presents to be signed by their authorized officers thisl7th day of my 12014 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook SS: On this 17th day of July 2014 ,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies."OFRGIALSM' /l1L�UnA dt/ A" ",o DONNA D.SKLENS NotaryPublic,State of Illinois Donna D.Sklens,Notary Public My Conwiission Expires 100015 e I, Jeffrey Goldberg._the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington e International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attomey given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this2 oth day of June 20 17. ItaYey Goldberg,Vice President&Assistant Secretary of Washington International Insurance Company&North American Specialty Insurance Company k Document-3443455-Page-1 Page 1 of 1 z Recorded in Official Records,Orange County I Hugh Nguyen,Clerk-Recorder II I I II II II I I II I I II II I II I II 9.00 PLEASE COMPLETE THIS INFORMATION * $ R 0 0 0 9 3 5 3 0 1 5 $ 20170002507791:27 pm 06/19/17 RECORDING REQUESTED BY: 47 NC-5 N12 F13 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 i i t WHEN RECORDED MAIL TO: e CITY OF HUNTINGTON BEACH E PUBLIC WORKS DEPARTMENT Attn:Andrew Ferrigno P.O.Box 190—2000 Main Street Huntington Beach,CA 92648 i THIS SPACE FOR RECORDER'S USE ONLY 1 i TITLE OF DOCUMENT i i NOTICE OF COMPLETION 4 t NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street,Huntington Beach,CA 92648,that the contract heretofore awarded to Paulus Engineering,Inc.,who was the company thereon for doing the following work to wit: Bolsa Chica Waterline Extension Project,Project#CC 1389 That said work was completed 06/14/2017 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 06/14/2017,per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract NORTH AMERICAN SPECIALITY INSURANCE COMPANY,was surety for the bond given by the said This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 6103 and should be recorded free of charge. Dire for of Pubic Works or City Engineer Date City of Huntington Beach,California STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach ) I,the undersigned,say:I am an Agent of the City of Huntington Beach,owner in fee,in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof;the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. This document is solely the official business of the City of Huntington Beach,as contemplated Director of Public Works or City Engineer Date - under Government code section.6103 and City of Huntington Beach,California should be recorded free of charge. THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) about:blank 6/19/2017 City of Huntington Beach 2000 Main Street ♦ PO Box 190 ♦ CA 92648 Travis K. Hopkins, PE Department of Public Works Director (714)536-5431 i 6/15/2017 Paulus Engineering, Inc. Roger Bretton 2871 E.Coronado St Anaheim,CA 92806 Subject: Bolsa Chico Waterline Extension Project, Project#CC 1389 Ref: Authorize Release of Bid Bond Dear Roger: City of Huntington Beach("City")have received the required Performance, tabor,and Material Bonds from you for this project. Therefore,you are hereby notified that City staff will be releasing(typically within 2 weeks)your Bid Bond as shown below. The Bid Bond will be returned to the following: Paulus Engineering Inc. 2871 E.Coronado St. Anaheim,CA 92806 714-632-3975 Should you have any questions,please contact me at 714-536-5291. IrFa�rmri Senior Civil Em ineer apt:rva cc: Robin Estanislau, City Clerk's Office Bond Company T of Bond Bond Number Bond Amount NORTH AMERICAN SPECIALITY INSURANCE COMPANY Bid 7-8 $14,879.00 !' t RECEIUED'BY: !� 'J' CITY CLERK RECEIPT COPY Return DUPLICATE to GGG City Clerk's Office Name after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk /� DATE: ��la k, /,�� SUBJECT: Bond Acceptance have received the bonds for (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. � Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved �,� ���1' 1.2-0 p (Council Approval Date) CC No. 13 J Agenda Item No. S, MSC No. ' City Clerk Vault No. Other No. SIRE System ID No. r gAorms/bond transmittal to treasurer CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND �P��WS E�IF�I�t6ERtnf �� C. ._._"I_. FOR_._..jv...�__.._._._.._. ,._...�._...__...._... _Gr✓. Nd—,38`j—_`Z-.2��c_I-F____��ATf-�_ Ma+�c ExT Js�a l r� c e�j _ STA-Vt -9rNDS,�IIST_dt __ _AR1A /ENO EtRAf-4,4 0 S7nEET- THIS AGREEMENT("Agreement") is made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as pAJLk)3 st4C, "CITY," and , a /1 c9a.tion, hereinafter referred to as "CONTRACTOR." CA WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as A GC No 13M $-iNCF4 \d#-+( --Mat► Ejc���.t5io� Pro Er-T "PROJECT," more fully described as'1 in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows: l. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and 1 16-5195/city-funded-construction-contract.doc—revised 04/2016 for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Department of Public Works of CITY, and any revisions, amendments or addenda thereto; D. The edition of Standard Specifications for Public Works Construction, published by Builders' News, Inc., 10801 National Boulevard, Los 2 16-5195/city-funded-construction-contract.doc—revised 04/2016 Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee as specified in the particular Plans, Specifications, Special Provisions and Addendum applicable to the Project; E. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR's proposal, (which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Director of Public Works of CITY or his or her written designee (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3 16-5195/city-funded-construction-contract.doc—revised 04/2016 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed OoG "PazP RK 1 E10T -iWsnND 5C'Mi 0014VACP 414" AotLAAs AND No CENTS Dollars ($ ), as set forth in the Contract Documents, to be paid as provided in this Agreement. A4 I L�6) 310. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within n ( 35 ) consecutive Working days from the day the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of work shall be performed and the priority of the work of other contractors, 4 16-5195/city-funded-construction-contract.doc—revised 04/2016 subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 5 16-5195/city-funded-construction-contract.doc—revised 04/2016 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other 6 16-5195/city-funded-construction-contract.doc—revised 04/2016 payroll deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that COpNTRACTOR will pay to FNE I}vWXrtp ] oOLLAN5 CITY, as liquidated damages and not as a penalty, the sum of ($ f:M.OD) per each calendar day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the 7 16-5195/city-funded-construction-contract.doc—revised 04/2016 findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DEMANDS FOR ADDITIONAL TIME OR MONEY. A. Definitions. (1) "Change Order" means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4. (2) "Demand" means a written demand for a Change Order by the CONTRACTOR for any of the following: (a) A time extension; 8 16-5195/city-funded-construction-contract.doc—revised 04/2016 (b) Payment of money or damages arising from work done by, or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a time extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents, or unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or (f) A request for a time extension or additional payment based upon acts of neglect by CITY or due to fires, floods, labor disputes, epidemics, abnormal weather conditions or acts of God. B. A Demand for a time extension or payment of money or damages may only be granted by a Change Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW (or his or her written designee). All Demands shall be submitted promptly, but in no event later than thirty (30) days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand 9 16-5195/city-funded-construction-contract.doc—revised 04/2016 within fifteen (15) days after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested, whichever is greater. D. Notwithstanding the thirty (30) days to submit a Demand under Subparagraph C, in the case of differing or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions, so that the CITY may promptly investigate the conditions. E. If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the City Engineer, in writing, either within fifteen (15) days of receipt of the City Engineer's response or within fifteen (15) days of the DPW's failure to respond within the time prescribed, respectively, and request an informal conference to meet and confer for settlement of the Demand. Upon the CONTRACTOR's request, the DPW shall schedule a meet and confer conference within thirty(30) days to seek to resolve. F. CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement. If the CITY and CONTRACTOR are unable to reach a mutual agreement, then the City Engineer shall issue a written decision on the claim within a reasonable time. G. Following the meet and confer conference, if the Demand remains in dispute, the CONTRACTOR may file a claim with the City as provided in Chapter 1 (commencing with Section 900) and Chapter 2 (commencing with Section 910) of Part 3 of Division 3.6 of Title 1 of the Government Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the 10 16-5195/city-funded-construction-contract.doc—revised 04/2016 CONTRACTOR submits his or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, five percent (5%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent(50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such I 16-5195/city-funded-construction-contract.doc—revised 04/2016 sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT, as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however, that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any, to be set forth in CONTRACTOR's affidavit covering disputed 12 16-5195/city-funded-construction-contract.doc—revised 04/2016 claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office-of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 13 16-5195/city-funded-construction-contract.doc—revised 04/2016 resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 19. CALIFORNIA EIGHT-HOUR LAW A. California Labor Code, Sections 1810 et seq, shall apply to the performance of this Agreement; thereunder, not more than eight (8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight (8) hours of labor per day or forty (40) hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars ($25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any 14 16-5195/city-funded-construction-contract.doc—revised 04/2016 one (1) calendar day or forty (40) hours in any one (1) calendar week in violation of California Labor Code Section 1815. 20, PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22, PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands, defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's 15 16-5 195/city-funded-construction-contract.doe—revised 04/2016 property, arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 24. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 16 16-5195/city-funded-construction-contract.doc—revised 04/2016 25. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers (the "Additionally Insured Parties") as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY; however an insurance policy"deductible" of Five Thousand Dollars ($5,000.00) is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 16-5195/city-funded-construction-contract.doc—revised 04/2016 26. CERTIFICATES OF INSURANCE• ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: 1. Provide the name and policy number of each carrier and policy; 2. State that the policy is currently in force; and 3. Promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 27. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction 18 16-5 1 95/city-funded-construction-contract.doe—revised 04/2016 which arises out of performance of this agreement within ten (10) days of receipt of such claim or claims. 28. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten (10) days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 29 and any damages shall be assessed as set forth in Section 29. 29. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven (7) calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience, the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by 19 16-5195/city-funded-construction-contract.doc—revised 04/2016 reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 30. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 31. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement, or any part hereof, or any right or duty created herein, without the prior written consent of CITY and the surety. 32. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 33. STOP NOTICES; RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or 20 16-5195/city-funded-construction-contract.doc—revised 04/2016 expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 34. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U. S. certified mail-return receipt requested: TO CITY: TO CONTRACTOR: pWpC.f& / f 2- into City of Huntington Beach ATTN: N , Public Works ATTN: C1,41 } A.kWIP 2000 Main Street 283( E• C&ONAbo Huntington Beach, CA 92648 i4ra> Si r1 , cQ► �2 ouro vas+ 35. SECTION HEADINGS The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions, and do not interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 21 16-5 1 95/city-funded-construction-contract.doe—revised 04/2016 36. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 37. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 38. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party. 39. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other 22 16-5195/city-funded-construction-contract.doc—revised 04/2016 whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 42. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 43. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5 1 95/city-funded-construction-contract.doe—revised 04/2016 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. 46. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/city-fun ded-construct ion-contract.doc—revised 04/2016 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers ony�1 , 20 CONTRACTOR: CITY OF HUNTINGTON BEACH, a m cipal rporatio f tl St ®f California Deb"B y: 'q 'U r\ l?"LL'L 5 Mayor (print name) ITS: Chairman/President/ Vice-President City Clerk (circle one) INITIATED AND APPROVED: AND By: C Direc r of Public Works PA C�_L (print name) ITS: Secretary/Chief Financial Officer REVIEW APPROVED: (circle one) - Asst. Secretary/Treasurer �� ity Manager APPROVE S City Attorney 25 16-5195/city-funded-construction-contract.doc—revised 04/2016 I CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM: PGi.Lt LUSH �C-"II t- -F-e L)G /I�LPRO]ECT: I�� ISGI (/1�1I C� .1NGt �P� ��t� " (Contractor Name) "'16V-6RA0 (Street Address) i (Citfir,State and Zip)TO: CITY OF HUNTINGTON BEACH i DECLARATION 0 Attached hereto is a true and correct copy of the current Certificate of Insurance and Additional Insured Endorsement CG 2010 1185, which Certificate complies with the insurance requirements of the Contract by and between the City of Huntington > Beach("City')and the above-named Contractor("Contractor')for the above-described project("Project'). c I declare under penalty of perjury under the laws of the State of California that the above statement is true and correct Signed on Z" IZ 120-&at GL ' (Date) (Ci St J (Signs of I dividual Who is Making Declaration) b s� I WARRANTY Contractor hereby warrants and agrees to maintain Products and Completed Operations Insurance in compliance with the insurance requirements of the Contract for the Project, Said insurance shall be maintained through and until the expiration of all Warranties provided by Contractor. Said insurance shall contain Additional Insured Endorsement CG 2010 1185r naming City as an additional insured. Contractor shall supply to Cityr on at least an annual basis, a Certificate of Insurance and the aforementioned a Endorsement evidencing continued coverage which meets the Contract requirements. Signed on I d- 20 at OuG I (Date) (City,State) x CONTRACTOR: x l Name: 11.t.S - f I! By Name: of s c k.S y Title: f l Zn6Z 1.z ( c SECTION C PROPOSAL for the construction of CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefore, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find 1'J i •r )/7 �/O in the amount of/T,9 6 which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received 4idder's Signature C-2 SECTION C PROJECT BID SCHEDULE A PROJECT NAME, CC 1389 8-INCH WATER MAIN EXTENSION ON STATE LANDS BID ITEMS .£..;'_ `"'^."` __ —.,;3x t`�"ate ^� ✓alp .y.,. _" G .. ,_,r. ... F'Item `� Description Quantity, o Umt ;Umt Cost, Total Cost Mobilization 1 LS $ 2 Demobilization and Clean-Up 1 LS $ i,��o $ I. 3 Erosion Control BMPs,WPCP and SWPPP 1 LS $ $ 4 8" DR 18 AWWA C900 PVC Pipe 1300 LF $ 7Z A:a $ k2rO 5 Demolish and Remove existing Blow Off Assembly 4 EA $3(00 $ 2i 2 /0 6 Disinfection and Pipeline Testing 1 LS $_7 $ 7 cep_mow 7 8"Cut in Valve Assembly 3 EA $ G.0p# $ 8 Remove and Replace Existing Asphalt Paving Times 60 LF 1 Trench Width $ //O— $ G�G op 9 Top Soil Salvage, Replacement, and Conditioning 1 LS $ TOTAL BID AMOUNT(BASIS OF AWARD)—SCHEDULE A $ /YP' 2& a TOTAL BID AMOUNT IN WORDS: t rt v O i✓ i f. N �G e t—. it ✓e- Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on , at AaitLtim 7 Date City State PARIK5 , bei first duly sworn, deposes and says that he or she is Prtsi n of AJ Lty � M i,44 Tn 1,. the party making the foregoing bid that the bid is not made in the interest 6f, or on t e behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. P - 5 Name of Bid er 1�1- Signature of Bidd r u� �1 U 120 Address of Bidder C-4 JU1tA'T A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy or validity of the document. State of California County of Orange Subscribed and sworn to (or affirmed)before me on this 15th day of November, 2016, by_ Jason Paulus proved to on the basis of satisfactory evidence to be the person(s) who appeared before me. Signatu e (Notary Seal) CYNTHIA J.VALENCIA Commission#2127262 i Notary Public-California z Orange County My Comm.Expires Oct 15,2019 OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) Number of pages: Document Date: (Additional Information) UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. _ 6kN1uy 0 'n 00 4 d -C. Contractor n S By PrWhA Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes W(No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. T 1 . Contractor z S 0A By PrtSl kA Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Nan} i/i/la e Tine s Address A4 ti M City, l State Zip I CI ) Z 7 J r S j4li mju 5 1 Yl ;,i I I� n Telephone Numb e Er6l Addre s State Con ractor's License No. and Class Orig nal at Issued ,ho�'S' IQ Expiratio Date The work site was inspected by Lil (./' dam of our office on , 201�. The following are persons, firms, and corporations having a principal interest in this proposal: 1118 PAIAlm - to o n �- �iUWIL �rAhC �FO The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the pla um� d specificatio et forth. /rn c. Company am Signature of gidder S Printed o yped Signature Subscribed and sworn to before me this�day of 611iddel , 201b- . NOTARY PUBLIC �. NOTARY SEAL C-8 JURAT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy or validity of the document. State of California County of Orange Subscribed and sworn to (or affirmed)before me on this 15th day of November, 2016, by Jason Paulus proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signa e (Notary seal) CYNTHIA J.VALENCIA Commission#2127262 "aas Notary Public-California z Orange County n My Comm.Expires Oct 15,2019 OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) Number of pages: Document Date: (Additional Information) Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: // kA. IAII, 11<00 G PA-L Lt Name and Address of Public Agency Name and Telephone No. of Project Manager: S���� �✓IC 9 5-- G o l 0 I� U v� I�, �.� o✓ 0�� ontract Amount TypI of Work Date Completed Provide additional project description to show similar work: i� , 4- TL c spy 2. /Ulcy� V�� l�✓ S �����- Name and Address of Public Agency -- Name and Telephone No. of Project Manager: Y w Ow Lew✓ �yy� ��i�Z�� I1SkjLK BOA} C Contract Amount ype of Wor Date Completed Provide additional project description to show similar work: 3. NamJ and Address of Kublic Agency Name and Telephone No. of Project Manager: < 1.L 6„ . Jy- OS11 4W, Ip< L41kct.AMI 11 Cie T ITT ylS Contract Amount Type of Work Date Completed Provide additional project description to show similar work: YVII /W N h m C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. R a, kl/L^ Namd of proposed Project Manager Telephone No. of proposed Project Manager:� 27 00 IIIJ# ,�� Zo G Proj t Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Ilk, LAC b4d Pr ject Name Co tract Am unt f ype of Work ate Completed 2. t1k A g, z- NarAe of proposed Superintendent Telephone No. of proposed Superintendent: Ty- 23 - Y6 2016 Project Name & Contract Amount ype'of Work Date Completed ,'N/�� Project Name & Contract Amount Type of Work Date Completed A w �.� �r � , G A Project Name & Contract Amount Type of Work Date Completed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefi ling.dir.ca.gov/P W CR/ActionServlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. / r Contractor �Wlwr By tqikAk Title Date: —11 ON DIR#: �nnD0005�D C-1 i I 1 North American Specialty Insurance Company Bond #7-B Premium Nil BID BOND l KNOW ALL MEN BY THESE PRESENTS,That We, Paulus Engineering, Inc I 1 E . Corona o street of Anaheim, CA 92806 as Principal, and North American Specialty Insurance Company, of Manchester, New Hampshire, as Surety, a New Hampshire corporation duly licensed to do business in the State of California are held and firmly bound unto City of Huntington Beach as Obligee, in the penal sum of ten percent of amount bid Dollars for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, That, whereas the Principal has submitted, or is about to submit, a proposal or a bid to the Obligee on a contract for CC No. 1389 8-Inch Water Main Extension Project on State Lands - Allstone Drive & Graham Street NOW, THEREFORE, if the aforesaid principal shall be awarded the contract,the said principal will within the period specified therefore, or, if no period be specified, within ten (10) days after the notice of such award into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void, otherwise the principal and the surety will pay unto the obligee the difference in money between the amount of the bid of said principal and the amount for which the obligee may legally contract with another party to perform the work if the latter amount be in excess of the former, in no event shall the .liability hereunder exceed the penal sum hereof. PROVIDED AND SUBJECT OF THE CONDITION PRECEDENT, that any suits at law or proceedings in equity brought or to brought against the Surety to recover any claim hereunder must be instituted and service had upon the Surety within ninety (90) days after the acceptance of said bid of the Principal by the Obligee. Any person who, with the intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or fifes a claim containing a false or deceptive statement is guilty of insurance fraud. i i SIGNED ,.SEALED AND DATED thls 2 5 th day of Oct e r ,2 016 Paulus Engi i Inc. P a[ By: #^ A f1� N rth Ca specl ran Company By: / _ .Charles L. Fla e.;Attcmey-In-Fact 8ND 140 S REV(05/95) i i CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy or validity of the document. State of California County of Orange } On October 25, 2016 before me, Cynthia J. Valencia, Notary Public personally appeared Jason Paulus who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNE y hand and official seal. CYNTHIA J.VALENCIA Commission#2127262 a .® Notary Public-California > Z Orange County Signature of Notary Public (Notary Seal) Z My Comm.Expires Oct 15,2019 ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT CAPACITY CLAIMED BY THE SIGNER Title or description of attached document Individual Corporate Officer x /Title President/Sec Number of pages Document Date Partner Attorney-In-Fact Trustee Other Additional Information f CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. I STATE OF CALIFORNIA j i County of Orange i I On 10/25/2016 before me, Lexie Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Charles L. Flake Name(s)o(Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), j LEXIE SHERWOOD and that by his/her/their signature(s) on the instrument the ; - COMM.#2031782 3 person(s), or the entity upon behalf of which the person(s) (D `.*' _ NOTARY PUBLIC*CALIFORNIA acted, executed the instrument. ORANGE COUNTY —� Comm.Exp.JULY 27,2017 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. i Witness my hand and official seal. Signature !�2� L/&U� — Place Notary Seal Above Signature of%ta Public exie Sherwood I i OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than-Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited ❑General ❑ Attorney in Fact RIGHT.THUMBPRINT ❑ Attorney in Fact ❑ Trustee OF ❑ Trustee OF ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: DAVID L.CULBERTSON,CHARLES L.FLAKE,RICHARD A.COON,SPENCER FLAKE and LEXIE SHERWOOD JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9'h of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached," �°UUIWlllallgrn.,. S10Ngl�.0ta �, T.,• A Y �ap,ppj •;i9G.. .Stu_ :A/ Steven P.Anderson,Scnlor Vice President of Washington International Insurance Company S�L :+�• :m= .:•C7:C s�y:,ta 1973 nri n� &Scnlor Vice President of North American Specialty lnaurance Company �C' ::m= .•' AMP$��P, t /inkuumuP 13 di °3�...; .... . David M.Layman,Vice President of washington International insurance Company '�rtoatm°>u°t &Vice President of North American Specialty insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have.caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers thisl7th day of Ju y 2014 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 17th day of July 1 2014 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. 110FFCCIAI:SEAL" -— � �0 Gn Q DONNA MSKLENS Notary Public,.State of lllinois Donna D.Sklens,Notary Public My Commission Fapirm,10MWO15 i I, Jeffrey Goldberg—the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies thiS25th day of October 2016 Jeffrey Goidberg,Vice President&Assistant Secretary of Washington Intemational Insurance Company&North American Specialty Insurance Company a k t t�'IS - - ' +=g �e IV a - a iT x� 4 SS P t b1 ; -K5v" y t Oil 0 H .y U#y g� j 0 r � x 6 rs, zg W rS ikYr}{� G{,�s kS tie gygr ^mil Q 1✓' A a� ,�1 W z ry F ; +,btu f� ,. z a AMA ,� to r C/� kf�{' 6y as A dKWIC v tfi`3t ` f � g w �1j{rf �" st'%js 3 x9i't+ k; r4 t"M a r # r. CN s t ! s t »st t N4 cu W tii %�mts ��" t`�h3s: ��s'y of r `rt�➢ f.a*'x+�•++sue �P a 4 i�.� fi� � rd.r t{ ik ' gnz3- £ Ml t n.13Z e s +.1 sP a t �a'c 1 t x lsf s n gs 'v .-a ''r s cgs 3f s q r 8 � "r� mib'Ek� ;�� 4jya 11-) �F�,���i t �7 d �3t Z (� �4 i� LU -0 00 f7 a•t TT4a k qn a t g j .p i� bja N N N w C a) (c) Ch ' Z O ; t /� �a p33vx1-a $t 5;t 7 4 O U `ti4s,, .+,4a"+k p a hfS,3Ynre'�'e �N � ptrT, } s V � s A a kk ro x 5 +r+ 'r zu W O4 &� W .� C X - ,ty,g J ar �' 12- 3 a&`zst t{ U r O (B ti Opt �v m bptd C it 5� NOR aN i WE 4c Px ^F99 `� * cq,wp �' "y'"E'i�situg Sk 'aP rl. `g NO j4'• � •yam„` d { � 's ���, ,�i ,� `�,�`�� t���:�f d14 b k t T �•—� PAULUS ENG JLOPEZ FACORL� DATE(MM/DD/YYYY) �,. CERTIFICATE OF LIABILITY INSURANCE 12/21/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: PHONE FAX The Wooditch Company Ins.Svcs.,Inc. EAMA Lo,E q`(949)287-5677 (a/c,No): 1 Park Plaza,Suite 400 ADDRE S S: Irvine,CA 92614 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Executive Risk Indemnity,Inc. 35181 INSURED INSURER B:Federal Insurance Company 20281 Paulus Engineering,Inc. INSURERC: 2871 E.Coronado Street INSURER D: Anaheim,CA 92806 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR I D WVD M/D MID 1,000,000 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR X 54303105 05/01/2016 05/01/2017 DAMAGE TO RENTED 100,000 PREMI ES Ea occurrence $ X Incl.Contractual MEDEXP(Any one erson $ 5,000 X Liability APPROVED AS TO F RM PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO LOC BY' y, T/0 PRODUCTS-COMP/OPAGG $ 21000,000 JECT MICHAEL E.GATE OTHER: I CM ATMR PV $ B AUTOMOBILE LIABILITY CITY OF HUNTINGTON EACH Ee a.IoeMBINDSINGLE LIMIT $ 1,000,UUU X ANY AUTO 54303104 05/01/2016 05/01/2017 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ HUMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ H — DED RETENTION$ PER $ B WORKERS COMPENSATION X STATUTE ORH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ 54303106 05/01/2016 05/01/2017 E.L.EACH ACCIDENT $ 11000,000 0FFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE—$ 1,000,000 If es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I L DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Project#1389;Bolsa Chica Waterline Extension Project. glaip City of Huntington Beach,its officers,elected and appointed officials,employees,agents,and volunteers are included as Additional Insureds as respects General Liability per attached endorsement. This Insurance shall apply as Primary and Non-Contributory per attached endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street P.O.Box 190 Huntington Beach,CA 92648 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 061988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:PAULUS ENG JLOPEZ LOC#: 0 ACOR® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Paulus Engineering Inc. 2871 E.Coronado Street POLICY NUMBER Anaheim,CA 92806 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEEP 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Cancellation: "Except 10 days notice of Cancellation for non-payment of premium. "Should this policy be cancelled before the expiration date,The Wooditch Company will mail 30(thirty)days written notice to those Certificate Holders which require such action per contract or agreement." ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 54303105 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS -- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization s : Locations Of Covered Operations The City of Huntington Beach, its officers, elected #1389; Bolsa Chica Waterline Extension or appointed officials, employees, agents, and Project volunteers. Information required to com fete this Schedule,if riot shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is .amended to i3. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after: caused, in whole or in part, by; 1. All work, including materials. parts or ectuip- 1. Your acts or omissions; or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project (other than service, maintenance behalf; or repairs) to hp perfnrmed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed,or nated above. 2. That portion of "your worts" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 O ISO Properties, Inc.,2004 Page 1 of 1 0 POLICY NUMBER: 54303105 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS -- COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional insured Person(s) Or Or anization s : Location And Description Of Completed Operations The City of Huntington Beach, its officers, #1389; Bolsa Chica Waterline elected or appointed officials, employees, Extension Project agents, and volunteers. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. Section 11 — Who is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for"bodily injury" or"property dam- sap" rnimp.d, in whole or in part, by "your work" nt the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". CG 20 37 07 04 O ISO Properties, Inc., 2004 Page 1 of 1 D POLICY NUMBER: 54303105 COMMERCIAL GENERAL LIABILITY 10-02-2461 (Ed. 7-15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE FOR SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Additional Insured: Location Of Covered Operations: Where required by written contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) With respect only to the Additional Insured and at the Location Of Covered Operations shown in the Schedule, the following is added to SECTION IV — COMMERCIAL GENERAL;LIABILITY CONDITIONS, Paragraph 4. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to the Additional Insured with respect to the Location Of Covered Operations shown in the Schedule under this policy provided that: (1) The Additional Insured is a named insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the Additional Insured. 10-02-2461 (Ed. 7-15) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) �, ► CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION OLD TO: City Treasurer FROM: City Cler DATE: SUBJECT: Bond Acceptance I have received the bonds for GJ6,A)a"'i (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. �C� Payment Bond (Labor and Materials) Bond No. to Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council pproval Date) Pa CC No. 0 Agenda Item No. MSC No. City Clerk Vault No. r't' i Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer EXECUTED IN TWO COUNTERPARTS BOND# 2208641 PREMIUM: $2,143 PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as"City") has, by written agreement dated 20 ,entered into a contract with PAULUS ENGINEERING INC. 2871 E. CORONADO STREET,_ANAHEIM, ___, ______._____.._____.._.__.____...._-_ (name and address of Contractor) (hereinafter referred to as"Principal"),for performance of the work described as follows: CC NO. 1389 8—INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE AND GRAHAM STRMTT (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively "Contract"), are incorporated herein by this reference made a part hereof as though set forth herein in full;and Said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt, full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the State of California(hereinafter referred to as"Surety");and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract;and Surely has provided financial strength ratings from reputable companies,such as from A.M. Best,Moody's,or Standard &Poor's,to validate that Surety has positive ratings of being secure or Stable; and Surety is registered and listed with the California Department oflnsurance, NOW, THEREFORE,we,the undersigned,as Principal,and --NORTH--. IALTY___INSURANCE COMPANY ___ 6 HUTTON CENTRE DRIVE, STE 850 SANTA ANA CA 92707 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal u ofr ONE HUNDRED_FORTY—EIGHT THOUSAND SEVEN HUNDRED NINE m NINETY & NO/100 _S- Dollars ($ 148,790,00 ),this amount being not less than one hundred percent of the price set forth in the Contract,in lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves,our heirs,executors,administrators and successors,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly,fully and faithfully perform each and all of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered,amended or modified from time to time;and if the Principal shall indemnify and save harmless City and all of City's officers, agents and employees(hereinafter collectively referred to as"Obligees")fromany and all losses, liability and damages, claims,judgments, stop notices,fees and costs of every description,whether imposed by law or in equity, which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract,including all alterations,amendments and modifications thereto,and any warranties or guarantees required thereunder,then this obligation shall be void; otherwise,it shall be and shall remain in full force and effect. Surety stipulates and agrees,for value received,that no adjustment of the time or price in the Contract or any alteration,change, deletion,addition or other modification to the Contract, or the work to be performed thereunder,shall in any way affect,limit,restrict,impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract or contract price,and any other alteration,change, deletion, addition or other modification to the Contract,or the work to be performed thereunder,and agrees 1 5-45 84/1 1 71 7..4 Bond No. 2208641 to automatically adjust the penal sum of this Bond to reflect such adjustments,alterations,changes, deletions,additions or other modifications. Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis. Surety also waives the provisions of Civil Code§§2845 and 2849. The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate parry being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or property execute this bond. Dated: DECEMBER 19, 2016 ATTEST PAULUS ENGINEER IA. INC. (Corporate Seal) (Prin Name) By: Name: Title: ATTEST NORTH ERICAN SPECIALTY INSURANCE C ANY (Corporate Seal) urety ame) By: Name:CHA ORNEY—IN—FACT (Signature of Attorney-in-Fact for Surety) (Attach Attorney-In-FactCertIfIcate) per/ 550-7799 (Area Code&Telephone Number for Surety) APPROVED AS TO FORr%F By- 'Michael E.Gates,City Attorney Note: This bond must be executed in duplicate and dated,all signatures must be notarized, and evidence of the authority of any person signing as attorney-in-fact must be attached. PERFORMANCE BOND Page 2 of 2 15-4594/t17174 I . CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy or validity of the document. State of California County of Orange } On December 19, 2016 before me, Cynthia J. Valencia, Notary Public personally appeared Jason Paulus who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand and official seal. CYNTHIA J.VALENCIA Commission#2127262 Z Notary Public-California i Signature of otary Public (Notary Seal) Z Orange County M Comm.Ex ires Oct 15,2019 ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT CAPACITY CLAIMED BY THE SIGNER Title or description of attached document Individual Corporate Officer X /Title President/See Number of pages Document Date Partner Attorney-In-Fact Trustee Other Additional Information CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On 12-19-16 before me, Lexie Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Charles L. Flake Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), LEXIE SHERWOOD and that by his/her/their signature(s) on the instrument the COMM.' 031782 person(s), or the entity upon behalf of which the person(s) LQ' CN0TArRYPU18LlC•CALIFORMA acted, executed the instrument. NGE COUNTYOmM Exp.JULY 27,201 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand and official se I. Signature Place Notary Seal Above Signatur of N tary Pu lic Lexie Sherwood OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑ General ❑ Attorney in Fact Mthumb ElAttorney in Fact ❑ Trustee ❑ Trustee❑ Guardian or Conservator Top of here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: j i NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY s GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: r DAVID L.CULBERTSON,CHARLES L.FLAKE,RICHARD A.COON,SPENCER FLAKE i and LEXIE SHERWOOD JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contractor otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 91h of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, G the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached," E . \Or1at1111HNpl/�� ,�"tymuetouruuida, G gQ.GbP{'0/{��G By ~ ( r. SFAL ;n s Steven P.Anderson,Senior Vice President orwashingtoa international Insurance Company 2' SEAL , 1 167 m &Senlor President Vice Pident of North American Spec ally Insurance Company a yS m e F s 3 Qu. (!AMPS-'`$, .'.� �4h rbpN.......... ry/p/rinm0.14 $y n�/ antarvw� David M.Layman,Vice Prrsldent of Washingtuo Internallonal Insurance Company &Vice President of North American specialty imurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Corn any have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers thisl7th day of Jupy 2014 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 17th day of July 2014 ,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. "OFFICIAL.SEAI.'i `- DONNA D..SKLENS Notary.Public,State of Illinois Donna D.Sklens,Notary Public My Commission Expires 10/4412015 . I, Jeffrey Goldberg the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington ° International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this19th day Of December 2016 . Jeffrey Goldberg,Vice President&Assistant Secretary of Washington International Insurance Company&North American Specialty Jusuranee Company k EXECUTED IN TWO COUNTERPARTS BOND# 2208641 PREMIUM: INCLUDED IN PERFORMANCE BOND PAYMENT E30ND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach(hereafter referred to as"City")has awarded to PAULUS ENGINEERING, INC. 9871 E_ CORONADO STREET ANAHEIM CA - -� (name and address of Contractor) (hereinafter referred to as"Principal"),a contract('Contract")for the work described as follows: CC Nt7. 1 � NCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLS DRIVE AND GRAHAM STREET (Project Title) WHEREAS, Principal is required under the terms of the Contract and the California Civil Code to furnish a bond to secure the payment of claims of laborers,mechanics,materialmen,and other persons as provided by law, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as `Surety"); and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies,such as from A.M. Best, Moody's or Standard & Poors,to validate that Surety has positive ratings of being secure or stable,and Surety is registered and listed with the California Department of Insurance. NOW THEREFORE,we,the undersigned Principal.and NORTH AMERICAN SPECIALTY INSURANCE h HTITTON CENTRE DRIVE., STE 850 SANTA ANA, (name and address of Surety) as Surely, are held and firmly bound unto City in the al sum of ONE HUNDRED FORTY—EIGHT THOUSAND penal SEVEN HUNDRED NINETY & NO/100'S dollars($ 148.7 ),this amount being not less than one hundred percent(100%)of the total price set forth in the Contract,in lawful money of the United States of America,for the payment of which sum,well and truly to be made,we bind ourselves,and each of our heirs, executors, administrators,successors,and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT,if the Principal,his,her,or its heirs,executors, administrators, successors or assigns,or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code("Claimants")for all labor,materials or services used or reasonably required for use in performance of the work described in the Contract,or any amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such Claimant,of prevailing wages due and penalties incurred pursuant to Sections 1774, 1775, 1813 or 1815 of the Labor Code,or any amounts required to be deducted,withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work or labor performed under the Contract, Surety will pay for the same, in an amount not exceeding the penal sum specified in this bond;otherwise,this obligation shall be null and void. This bond shall inure to the benefit of any of the persons named in Section 3 181 of the California Civil Code so as to give a right of action to such persons or their assigns. In case any action is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee in an amount fixed by the court. PAYR4ENT BOND Page 1 of t5-1584/117357 Surety stipulates and agrees,for value received, that no change,extension of time,alteration, addition or modification to the terms of the Contract,or any contract document or any work;o be performed thereunder,whether made after notice or not, shall in any way affect, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, extension of time,alteration.addition,or modification to the terms of the Contract,the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code§§ 2845 and 2849. IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party%s proper legal name and that the individuals signing This instrument have been duly authorized pursuant to the authority of its governing body. Surety,by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: DECEMBER 19, 2016 ATTEST PAULUS ENGINE G, INC. (Corporate Seal) (P i a Na By: Name: Title: ATTEST NORTH AMERICAN SPECIALTY INSURANCE COMPANY (Corporate Seal) 1 ,'- (, rety e) i By: Name: CHARLE —T.- '--FrAKE ATTORNEY—IN—FACT (Signature of Attorney-in-Fact for Surety) (Attach Attorney-in-Fact Cerlificate) U4 550-7799 (Area Code&Telephone Number for Surety) APPROVED AS TO'F,ORM: Michael E.Gates,'City Attorney f Note: This bond must be executed in duplicate and dated,all signatures must be notarized, and evidence of the authority of any person signing as attorney-in-fact must be attached. PAYMENT BOND Page 2 of 2 t 545s4if 1735? CALIFORNIA ALL-PURPOSE II CERTIFICATE OF ACKNOWLEDGEMENT ` A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy or validity of the document. I State of California i County of Orange } On December 19, 2016 before me, Cynthia J. Valencia, Notary Public personally appeared Jason Paulus who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS hand and official seal. CYNTHIA J.VALENCIA Commission#2127262 Z "o Notary Public-California D Orange County Signature of otary Public (Notary Seal) Comm.Expires Oct 15,2019 ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT CAPACITY CLAIMED BY THE SIGNER Title or description of attached document Individual Corporate Officer X /Title President/Sec Number of pages Document Date Partner Attorney-In-Fact Trustee Other Additional Information CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On 12-19-16 before me, Lexie Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Charles L. Flake Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), LEXIE SHERWOOD and that by his/her/their signature(s) on the instrument the COMM.#2031782 person(s), or the entity upon behalf of which the person(s) NOTARY PUBUC 0CAUFORNIA n acted, executed the instrument. ORANGE COUNTY Comm.Exp.JULY 27,2017 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand and o cial seal. Signature Place Notary Seal Above Signature of ota Public exie Sherwoo OPTIONAL Though the information below is not required by law it may prove valuable to persons relying on the document and could prevent fraudulent removal anc-reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑ General a i ❑ Attorney in Fact ❑ Attorney in Fact ❑ Trustee • ❑ Trustee • ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: ......... NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY r WASHINGTON INTERNATIONAL INSURANCE COMPANY i GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: DAVID L.CULBERTSON,CHARLES L.FLAKE,RICHARD A.COON,SPENCER FLAKE and LEXIE SHERWOOD JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the € amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held E on the 91h of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, k the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the fixture with regard to any bond,undertaking or contract of surety to which it is attached." �`}}p14111111IfNINp ��1 ON+ataytrg4 yQ,Gbp�ORgr•.G rYy $y - sP. y2 �F +�•t' S�t� :n- Steven P.Anderson,Sunlor Vice President of Washington international Insurance Compsny Is s 1973 turn' F &Senior Vice President of North American Specialty Insurance Company t..; :Mr . �JcG.,•. ��Q•,•'p` Zit yc,�y �O. ��run+nlamiu}� By '0.71AIYNt� David M.Layman,Vice President of washington Inturuational insurance Company &Vice President of Korth American spcciaity Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers thisl7th day of July 2014 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 17th day of July 2014 ,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective 0oo .parties. "OFFICIALSEAL" DONNA D.SKLENS Notary Public,State of Illinois Donna D.Sklens,Notary Public My CommissionExpires,lowols. b 1, Jeffrey Goldberg the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington international Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies thisl9th day of December 2016 C Jeffrey Goldbors,Vice President&Assistant Secretary of Washington International insurance Company&North American Spoeialty Insurance Cempany k City of Huntington Beach ' 2000 Main Street ♦ Huntington Beach, CA.92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk December 22, 2016 Paulus Engineering, Inc. ATTN: Cindy Valencia 2871 E. Coronado St. Anaheim, CA 92806-2504 Re: 8-Inch Water Main Extension Project on State Lands, Allstone Dr. & Graham St. — CC-1389 The City Council awarded the bid to your company for the above referenced project. Enclosed is a copy of the executed contract with the City of Huntington Beach. A Certification of Compliance with Title VII of the Civil Rights Act, Certification of Compliance with Prevailing Wage Laws and Contractor's Certificate form must be returned to this office after the project is completed but prior to the release of retention funds. In addition, the following item must also be on file, with this office before the City can release any retention funds: A warranty bond guaranteeing the final amount of work and materials for one year. If your performance bond does not include specific wording for a one-year warranty, then a rider or separate bond must be submitted. Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5517. Sincerely,t�k� Q 7� Robin Estanislau, CMC City Clerk RE:pe Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Bid Bond (original) Sister Cities. Anjo, Japan ♦ Waitakere, New Zealand Dept.ID PW 16-067 Page 1 of 3 Meeting Date: 12/19/2016 CITY OF HUNTINGTON BEACH .x Egg REQUEST FOR. CITY COUNCIL ACTION MEETING DATE: 12/19/2016 SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Fred A. Wilson, City Manager PREPARED BY: Travis K. Hopkins, PE, Director of Public Works SUBJECT: Accept the lowest responsive and-responsible bid and authorize execution of a construction contract with Paulus Engineering, Inc. in the amount of$148,790 for the 8-Inch Water Main Extension Project on State Lands at the Bolsa Chica Wetlands, CC-1389 Statement of Issue: On November 15, 2016, bids were publicly opened for the 8-Inch Water Main Extension Project on State Lands at the Bolsa Chica Wetlands. City Council action is requested to award the construction contract to Paulus Engineering, Inc., the lowest responsive and responsible bidder. Financial Impact: Funds in the amount of $220,000 are available in the Water Master Plan Account No. 50791025.82100. Recommended Action: A) Accept the lowest responsive and responsible base bid submitted by Paulus Engineering, Inc. in the amount of$148,790; and, B) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney. Alternative Action(s): Reject all bids, or provide staff with alternative action. Analysis: The purpose of the proposed project is to provide redundant potable water pipelines to "The Landing" housing tract near the intersection of Slater Avenue and Graham Street for fire protection and water quality purposes. A redundant water system requires two connections to the City's water system from at least two separate streets. Connecting the four dead-end water lines at the end of Graham Street, Falkirk Lane, Bankton Drive, and Allstone Drive would remove dependency on only one connection currently serving this residential community. This project will allow the City to provide redundant fire protection to approximately 175 residences in the event of a fire. The proposed City of Huntington Beach Water Line Extension Project in the Bolsa Chica Wetlands Area consists of the removal of existing blow-off valves, the installation of 1,225 linear feet of 8-inch diameter waterline, and connection of the existing dead-end water lines to the new water lines. K -43- Item 5. - I Dept.ID PW 16-067 Page 2 of 3 Meeting Date:12/19/2016 City staff has coordinated with the California State Lands Commission to receive a no-cost lease, lease number PRC 9228.9, which allows for the construction and maintenance of this pipeline on the California State Lands property in the Bolsa Chica Wetlands. The City has also obtained a Coastal Development Permit from the California Coastal Commission, Coastal Development Permit Number 5-15-0814, which provides approvals to construct this project. Due to water quality concerns and construction date restrictions due to bird nesting in the area, this project was accelerated for construction to current fiscal year. Bids were opened publicly on November 15, 2016, and are listed in ascending order: BIDDER'S NAME BID AMOUNT CORRECTED BID VERIFIED TOTAL (Amount Read at Bid CONTRACT AMOUNT Opening and Basis of Award) Paulus Engineering, $148,790.00 No Correction $148,790.00 Inc Stephen Doreck $160,250.00 No Correction $160,250.00 Equipment Rentals, Inc GCI CONSTRUCTION, $168,300.00 No Correction $168,300.00 Inc HYM Engineering, Inc $173,800.00 No Correction $173,800.00 Gentry General $187,000.00 No Correction $187,000.00 Engineering C.H.I. Construction $189,000.00 No Correction $189,000.00 Excel Paving $192,799.00 No Correction $192,799.00 TE Roberts Inc $223,200.00 No Correction $223,200.00 T K Construction $279,000.00 No Correction $279,000.00 Big Ben Inc $299,200.00 No Correction $299,200.00 The lowest responsive and responsible bidder was determined to be Paulus Engineering, Inc. The city has contracted with Paulus Engineering on previous projects with good results. In addition, a reference check was obtained from Moulton Niguel Water District providing acceptable responses. The engineer's estimate for this contract was $175,000, which is within fifteen (15) percent of Paulus Engineering, Inc.'s bid proposal for amount of $148,790. The total project cost is estimated to be $220,000, which includes the construction contract, contingency, supplemental expenses, construction management, and inspection. Public Works Commission Action: The Public Works Commission reviewed and approved the project on July 20, 2016, with a vote of 5-0-2 (Scandura, Troxell-absent). Item 5. - 2 HB -44- Dept.ID PW 16-067 Page 3 of 3 Meeting Date: 12/19/2016 Environmental Status: The project is categorically exempt pursuant to Class 1(b), Section 15301 of the California Environmental Quality Act. Strategic Plan Goal: Enhance and maintain infrastructure Attachment(§): 1. Project Location Map t B -45- Item 5. - 3 _............._ _.,.. d»ger Ave .,. ' ;-f&teat Downey:. -'VAM t ai -: - .� Yorba Linda � \ - ck. , Ana_ W Buena Pr ' Ca Beach atfarl LongProject Loc A . a Ep`.r a�h ;; ...._ ,::.._. ........ � Huntington Costa Mesa h Irvi ne Warner A t w�mu vwmv. Atr ' € ` A )j I 4 I - .. . � i S 3 s_. <O" Project Location ' � .......... lls� ....................... ......................................... .................. � 7 '..u?t eserYe- _ x X yt z i Apt- \ �t i a • c! a a- x 4- 77 RSh e RvvA ROOM �,�, � .�• Local Vicinity Exhibit 1 Balsa etalca Lowlands Proposed Waterline Project a va e 2.000 1,000 D 2,DDO Y Feet c 0 H s u L r r K c Item 5. - 4 -46- � ,- � , aF,EP: �I��', ��.�,�a,� = x�_ �_�.�� I CITY OF HUNTINGTON BEACH PROJECT NAME: Bolsa Chica Waterline Extension Project CC#: CC 1389 BID OPENING DATE: 11/15/2016 TIME& LOCATION: 10:00 AM Council Chambers ENGINEER'S ESTIMATE: (Amount Here) BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME FINAL APPARENT BID RANK AMOUNT Bali Construction Inc BF Contracting Engineering Big Ben Inc BWW and Company Cedro Construction GCI CONSTRUCTION, INC00 Gentry General Engineering GRFCO, Inc HYM Engineering, Inc. Lonerock, Inc. Paulus Engineering, Inc. �- T K Construction 600 O° TE Roberts Inc 8 `�iQQ 00 a oa °° PTS 12182014 Version 15 CC1389 t - / //d A/G �.(.x3 - /o /ate A4. /o 127//6 SECTION A NOTICE INVITING SEALED BIDS for the construction of CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 10:00 AM on November 15, 2016. Bids will be publicly opened in the Council Chambers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648, upon payment of a $30.00 nonrefundable fee if picked up, or payment of a $45.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Plans, Specifications, and contract documents can be downloaded free on AGENCY website. http://www.huntingtonbeachca.gov/government/departments/public works/Bids/ The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. All extension of unit prices will be subject to verification by the AGENCY. In case of a variation between the unit price and the extension, the unit price will govern. Al Project Description: CC 1389 consists of the installation of approximately 1225 lineal feet of 8-inch buried pipeline in two unique segments. Each pipeline is located within California State Lands (CSL) owned parcels. The City of Huntington Beach has obtained a lease agreement from the CSL, and also a Coastal Development Permit (CDP) from the California Coastal Commission (CCC). A copy of the CDP and the Lease Agreement is included within the Appendix of these specifications. The Construction of these pipelines is subject to terms and conditions of both the Lease Agreement and the CDP. This project shall be constructed between September 15 and February 15 to avoid conflict with nesting birds. All work on will be constructed between 8:00 AM and 5:00 PM, on Monday through Friday, excluding all City of Huntington Beach observed holidays. The City observes the following holidays between September 15 and February 15; Veterens Day, Thanksgiving, the day following Thanksgiving, Christmas Day, New Years Day, Martin Luther King Day and Presidents Day. The contract shall allow the Contractor 35 working days to complete the contract. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 6th day of September 2016, by Resolution No. 2016-58. Attest: Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH A2 Esparza, Patty From: David Ward [dward@ocregister.com] Sent: Monday; October 10, 2016 1:22 PM To: Esparza, Patty Cc: Ferrigno, Andrew Subject: Re: Legal ad for HB Wave-CC 1389 Good afternoon Patty. How are you doing? Your notice is all set up and ready to. Have a good day. Ad#10205885 Run Dates 10/20 & 10/27 Cost $420.00 PROOF i SECTIC NOTICE INVITING for the const- CC Q 1389 8wINCH #T MAIN EXTI ALL T NE DRIVE in th, CITY OF HU TI PUBLIC NOTICE IS HEREBY GIVEIN that AGENCY, invites sealed bids for the above stab office of the City Clerk second Floor, 2000 92648, up to the hour c 1 : 0 Alk on Nov opened in the council chambers unless other Copies of the Plans, specifications, and contr, of the Director of Public Works, 2000 Main stre rnent of a $30.00 nonrefundable fee if picked fee if sent by UPS ground delivery (bidder shoe Plans, specifications, and contract documents site. http://www.huntingtonbeachca.gov/qoverr The AGENCY will deduct % retention from al substitute an escrow holder surety of equal e provisions of the Public contract code, sectioi owner of the surety and shall receive any intere. The AGENCY hereby affirmatively ensures that ed full opportunity to submit bids in response Y1 r'Y A 1 Y1/'tiT '1 V1 T i"V /"ti �/!!"t i f4 !"S 4- Y a+4 Jt.Iyt � /\F/4. M .ra s4�.a'a rS/4 f r+. r+■ Z On Mon, Oct 10, 2016 at 10:50 AM, Esparza, Patty <PEsparza(z surfci -hb.org> wrote: Hi David: Attached is a legal ad for the HB Wave to be published two weeks in a row: October 20, 2016 AND October 27, 2016. Please confu-in when possible—thanks! Patty Esparza City of Huntington Beach From: Ferrigno, Andrew Sent: Monday, October 10, 2016 10:31 AM To: Esparza, Patty Subject: Please Advertise CC 1389 in Local Paper Patty, Please advertise for 2-weeks as soon as possible. Andy Andrew Ferrigno Senior Civil Engineer City of Huntington Beach 714-536-5291 aferri nogsurfcity-hb.org 3 AFFIDAVIT OF PUBLICATION Proof of Publication STATE OF CALIFORNIA, ) ss. SECTION A County of Orange ) ' NOTICE INVITING SEALED BIDS for the construction of CC No. jag B•INCH WATER MAIN EXTENSION PROJECT'ON STATE LANDS, ALLSTONE DRIVE&GRAHAM STREET I am a citizen of the United States and a resident CITY OF HUNTINGTON BEACH of the County aforesaid; I am over the age of PUBLIC NOTICE iS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH,as. AGENCY,invites sealed bids for the above stated projects and will receive.such bids in the office of the City Clerk, Second Floor;2000 Main Street, Huntington Beach, California eighteen years, and not a party to Or interested in szsae,up to the hour of 10e00'AM on November .15;. 2018. Bids will be publicly opened in the Council Chambers unless otherwise posted. the above entitled matter. I am the principal clerk Copies of the Plans,Specifications,and contract documents,are available from the Office p p of the Director ment of a$30.00 nonrefundablef Public 0 fee rf p ckeain td'up;or pa-Huntinymen of a ton $45.00 CA 6nonrefundable of the Huntington Beach Wave, a newspaper fee if sent b UPS ground delivery(bidder shall payy additional costs for special delivery).,, Plans,Specifications,and contract documents can be downloaded free on.AGENCY web:, that has been adjudged to be a newspaper of site: fittp alwww.hu nti n gton beachca.gov/govern meet/departmentslpu bl ic_works/Bids/ The AGENCY will deduct 5%`retention from all.progress.payments. The Contractor may general circulation by the Superior Court Of the substitute an escrow holder surety of equal value to the retention.in accordance with the provisions of the Public,Contract Code,Section'10263. The Contractor shall be beneficial owner of the surety and County Of Orange, State Of California,On July 1, shall receive anyinterest thereon. The AGENCY hereby affirmatively ensures that'minority business enterprlses will be afford-. , 1998, Case No. A-185906 in and for the City Of ad full on th brit o submit bids in response to this notice and will religion discriminated against on the basis of race,color,national origin,ancestry,sex,or religion in any con sid- eration leading to the award of contract. _ Huntington Beach, County of Orange, State Of I No bid shall be`considered unless it is prepared on the approved Proposal forms in con- formance with the Instructions.to Bidders as determined by the AGENCY.The bid must be accompanied by a certified check,cashier's check,or bidder's bond made peyable,to the California; that the notice, of which the annexed I AGENCY for.an amount no less than 10%of the amount bid. The successful bidder shall' be licensed in accordance with provisions of the Business and Professions Code and shall ppossess a State Contractor's License Class A at the time ofthe bid opening. The success- is a true printed copy,has been published m each ful Contractor•and his subcontractors will be required to possess business licenses from P PY P the,AGENCY.All extension of unit paces will be subject to verification by the AGENCY n' case of a variation between the unit price and the extension,the unit•pricewll govern regular and entire 1SSlle Of said newspaper and Project Descriptions. CC 1389 consists of the installation of approximately 1225 lineal feet of 8-inch buried pipe not man supplement thereof On the following line in two unique segments. Each pipeline is located within California State Lands(C L) Y PP g owned parcels. The CiN of Huntington Beach has )main the lease agreement from the dates t0 wit: CSL,and also a Coastal Development Permit(ADP)from the Caleluded within the Cg en is- sion(CCC). A copy of the CDP and the,Lease Agreement is included wither the Appendix of these specifications. The Construction of these pi ellnes is sub'ect to terms end oondi- October 20 27 2016 tions of both the Lease Agreement and the CDP. This project s�all be constructed be- , tween September 15and February 15 to avoid conflict:wlth nesting birds. u 'All.work-on will be construct ed,between 8 0q-AM and 5`:06 PM;on Monday through Friday. I certify (or declare) under the penalty Of excluding all City of Huntington Beach observed holidays. The CiN observes the folloywing holidays between September 15.and February 15,Veterans Day,Thanksgiving,thanddaPresi- er ll under the laws Of the State Of California lowing Thanksgiving,Christmas,Day,New Years Day,Martin Luther King Day P j dents Day. that the foregoing is true and correct": The contract shall allow the Contractor 35 working days to complete the'contract. The AGENCY reserves the right to reject any or all bids,to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. Executed at Santa Ana, Orange County, BY ORDER of the CITY COUNCIL of the CITY OF HUNI TIN GTON BEACH,CALIFORNIA,the California,On Sth day of September 20159 by Resolution No.2016.58. Attest: Robin LERKslau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Published:The Huntington Beach Wave October 20,27,2016 10205885 -- October 27,20 6 zlt/ Signature Huntington Beach Wave 625 N.Grand Ave. Santa Ana,CA 92701 (714)796-2209 AFFIDAVIT OF PUBLICATION Proof of Publication STATE OF CALIFORNIA, ) ss. _- SECTION A County of Orange ) NOTICE INVITING SEALED BIDS for the construction of.. . CC NO.1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE&GRAHAM'STREET I am a citizen of the United States and a resident in the. CITY,OF HUNTINGTON BEACH Of the County aforesaid; I am Over the age Of I PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH,as ty g AGENCY,'inVites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk,•Second Floor, 2000 Main Street, Huntington Beach, California eighteen years, and not a party to Or interested in 92648,up to the hour of 10:00 AM on November 15, 2016. Bids will be publicly opened'In the Council Chambers unless otherwise posted: . the above entitled matter. I am the principal clerk l Copies of the Plans,Specifications,and contract documents are available from the Office of the Director of Public'Works,2000 Main Street,Huntington Beach;CA 92648,upon pays ment of a$30.00,nonrefundable fee if picked up,or payment ofa.$45.00 nonrefundable of the Huntington Beach Wave, a newspaper fee if sent by UPS ground delivery(bidder shell pay adddwna6 costs for special delivery). i Plans,Specifications,and contract-documents can be downloaded free on AGENCY web- site.. that has been adjudged to be a newspaper Of htto://www.huntingtonb6achca.gov/govern'menVdepartments/public works/Bids/ . The AGENCY will deduct.5%retention from all progress,payments: The Contrtor may general circulation by the Superior Court of the substitute an escrow holder surety of equal value to the retention in accordanceac with the provisions of the Public Contract Code,Section 10263. The Contractor shall be beneficial owner.of the surety and shall receive any interest.thereon'. County of Orange, State of California, on July 1, The AGENCY hereby affirmativelyy ensures that minority business enterprises will be afford- ad full opportunity to submit bitla in response to this notice and will,not be discriminated 1998, Case No. A-185906 in and for the City Of against on the basis'of race,color,national\origin,ancestry,sex,or religion in any consid- eration leading to.the award of contract. Huntington Beach, County of Orange, State Of No bid shall be consideried,unless-It is`prepared on the approved Proposal forms in con- formance with the Instructions to Bidders as determined by the AGENCY.The bid must be accomppanied by a certified check,cashier's check,or bidder's bond made payable to-the California; that the notice, Of which the annexed AGENCY for an amount no less than.10%of the amount bid: The successful'bidder,shall be licensed in accordance with provisions of the Business and Professions Code,and shall possess a State Contractor's License Class A at the time of the bid opening. The,success is a true printed copy,has been published in each i ful Contractor and his subcontractors will be required to possess business licenses from the AGENCY.All extension of unit prices will be subject to verification'by the AGENCY. In case of a variation between the unit price and the extension,the unit price will govern. regular and entire issue of said newspaper and project Description: CC 1389 consists of the installation,of approximately 1225.lineal feet of 84rich buried pipe- riot in any supplement thereof On the following Ilpe in two unique segments. Each pipeline is located within California State Lands(CSL) owned parcels. The City.of Huntington Beach has obtained a lease agreement from the CSL,and also a Coastal Development Permit(CDP)from the California Coastal Commis- dates,t0 wit: sn(CCC). A copy of the CDP and the Lease Agreement is included.within theAppendix oiof these specifications. The Construction of these pi elines is sub'ect.to terms and condi- tions of both the.Lease Agreement and the CDP. This project shall be constructed be- October 20,27,2016 tween September 15 and February 15'to avoid conflict with nesting birds. - All work on will be constructed between 8:00 AM and 5:00 PM on Monday through Friday, "I certify (or declare) under the penalty of excluding all City of Huntington Beech observed holidays..Tha City`observes the following holidays between September 15 and February 15;Veterens,Dey,Thanksgiving,the day fol lowing Thanksgiving, Christmas Day,New Years Day,Martin'tutha King Day and y I _ perjury under the laws of the State of California dents Day: The contract shall allow the Contractor 35 w that the foregoing is true and correct": orking days to complete the contract. The AGENCY reserves the right.to reject any or all bids,to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. Executed at Santa Ana, Orange County, • ' . , BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH,C California,On 6th day of September 2016,by Resolution No.2016.58. ALIFORNIA,the Attest: Robin Estanislau' CITY CLERK OF THE CITY OF HUNTINGTON BEACH Published:The Huntington Beach Wave October 20,27,201610205885. October 27,2916 - _,,,� Signature Huntington Beach Wave 625 N.Grand Ave. Santa Ana,CA 92701 (714)796-2209 CD cn i Yl UJ Lo CEO ee. o CD CD LIJ LIU C=D cai 00 :01 HV S I AON SIOZ UNSUCCESSFUL BIDS CC- 13 89 Water Main Extension Project City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov `FFe^'j7 1909,P� Office of the City Clerk Robin Estanislau, City Clerk January 17, 2017 Big Ben, Inc. 4790 Irvine Blvd. #105-404 Irvine, CA 92620 RE: Water Main Extension Project—CC-1389 Enclosed please find your original bid bond for CC-1389. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand o Lu qr 1 P':$ � L t Y' i r y t i i iy r n ' W , 4 ! `t �+'< CB F 47 a-� si-.'ti ray � •-.- � . - .» t3 T _y 1 4 ff oz xj3`�r'a i (E� cle r}Y Asti i 4Sb y _ d "� x - P - � 1.Yi•$'��t b 1 Nh,F, t w',a k 1�Z` i }t "�1k4 -AMP.r x. tA rxf 4 # } h €-t i, w>r,%4 a�� 1 f 3,fR•x.Y r 4'� ` t' ITT AS f m iA Erb S iF Ski 4�y 6 4 y � - d �+a �),�t}�� F h) 1. Z l L M � �tn;.. ,fMIS YC ML4. Stf 1 x '{�sib•S,�°�'�RYj.6(� .�. � h r" �"x rho 3 y- mw ate=1 w xd i �S' ti ,� �'" �tst��if - 'Ili' '<a s z,aiu utM' t - Oil ' y h 0 "F{d'� { 71 O f yj s a CN C c 01 r m - �_ N > co 'I SECTION C PROPOSAL for the construction of CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefore, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompan ing this proposal of bid, find i eGv� in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda Na DateReceived Bidder's Simfiature C-2 SECTION C PROJECT BID SCHEDULE A PROJECT NAME, CC 1389 8-INCH WATER MAIN EXTENSION ON STATE LANDS BID ITEMS 1 Mobilization 1 LS $p10 Ooo 000 Utz 2 Demobilization and Clean-Up 1 LS $ O0 $ , ,500.0'0 3 Erosion Control BMPs,WPCP and SWPPP 1 LS $ Q l 00 $ V 000. 00 4 8" DR 18 AWWA C900 PVC Pipe 1300 LF $ OU $ 5 Demolish and Remove existing Blow Off Assembly 4 EA $` Ooo $ ooc.).. YO 6 Disinfection and Pipeline Testing 1 LS $ 00.oo 7 8"Cut in Valve Assembly 3 EA $ _()0 $ 00, o v $ Remove and Replace Existing Asphalt Paving Times 60 LF Trench Width $ 0. L $ 7� 0 . Oe 9 Top Soil Salvage, Replacement, and Conditioning 1 LS $ j v U $ 6,.500_ Y1 TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $_ ( r 4 O TOTAL BID AMOUNT IN WORDS: ou c.� K — ,z Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govem. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Cldssi DIR Dollar %of Item(s) Subcontractor License Number Amount Contract, 1Vumber By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on)1-Jv-ll, , at 1f v �% e CA f Date City State being first duly sworn, deposes and says that he or she is of r the party making the foregoing bid that the bid is not made in the inter st of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. 9 ( CJ g e', 1� C-_ Name ofi3idder _�Ge V Signature o idder PO 1 Y vo'ge CA U 6 Z2 Address of Bidder C-a UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Gl- �� �t C Contra r By C"S►-(,S Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes ONO If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Contract By Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: I CI e h k1c . Bidder' ame 171'0 1 rvihe 0 5-- Business Address rvI ke rA q)6 y City, State Zip (,7 qq ) 110 0-1,�Io 0 .5 e- \1D-L 0 Li S_ft_VC1ij il Telephone Number Email Address 77 yyq y A- State Contractor's License No. and Class o Original Date Issued a- zR M Expiration Date The work site was inspected by e-V of our office on ' 9 ,20S The following are persons, firms, and corporations having a principal interest in this proposal: S���� i The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications et forth. .3i' � �k < Comp e Signature o der e r _ 44 r IT Printed or typed Signature SFN'OF lA SUNGMYE Y. KIM Subscribed and sworn to before me this%4day of IVo V , 2011 GGMM.# 2156677 'n N x NOTARY PUBLIC-CALIFORNIA N ORANG r/� r cqt gN`e ANY Comm. E PE Ju COUNTY NOTARY PUBLIC NOTARY SEAL C-s Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: Name and A dress of Public Agency Name and Telephone No. of Project Manager: M o r I / 5 3 . a. fM c- 2 Contract Amount Type of Work Date Comp eted Provide additional project description to show similar work: ,2 0 000 Q it `-(Li f°i- ✓"1 4�'1. 2. c ;4 1 J 14o I fi -e P, h Name and Address of Public Ag ncy Name and Telephone No. of Project Manager: 3/4 -- y" 3/41 W-1 ee fIkq- 07// 4 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and hddress of Public Agency Name and Telephone No. of Project Manager: �'1�1 e � Pi �"� 71 y7-S- $ / 1 6-A W't�e ---jib oc�- Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project rrhistory in addition to the projects listed herein. 1. Spa S4 el(k- 1,P, Name of proposed Project Manager [� Telephone No. of proposed Project Manager: 67 [ yD 0 15:4C944, AKA AfCb-(IV tee- /`If fh 19, 67. Project Name &Contract Amount Type of Work Date Completed 07ZIV Project Name & Contract Amount Type of Work Date Completed /Oz/ 1 Project Maine & Contract Amount Type of Work Date Completed 2. A r i— vx I 1 JP Z. Name of proposed Superinte ent -7 Telephone No. of proposed Superintendent: 6i d 6._ a 6 I _ q&0 / Project Name &Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DL SE/PublicWorks/SB 854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.di r.ca.gov/PW CR/Action Servl et?action=di splayP W CRegi strationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on,be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. — _Rl_� , C 'k /� (' Contractor : 7/ By TBPS 64�r n Jlr f —�b Title Date: DIR#: /000007416( C-11 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER OIVE For 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS, ALLSTONE DRIVE ADD GRAHAM STREET, CC NO. 1389 November 3,2016 Notice to All Bidders: 1. The bid due date and time shall remain unchanged. Bids are due on November 15, 2016, at 10:00 AM. Bids shall be delivered to the City Clerk's Office. The Bid Opening will be held in the City Council Chambers at 10:00 AM on Tuesday November 15,2016. 2. The project geotechnical investigation was inadvertently omitted from the project specifications. The Geotechnical Investigation Report, City of Huntington Beach Watermain Extension Allstone Drive & Graham Street Huntington Beach, California, by Twining Inc., dated October 28, 2015 is here by incorporated in the project specifications as APPENDIX K. Page vii,the table of contents for the Appendices has been amended as shown herein. 1 of 1 BID BOND KNOW ALL BY THESE PRESENTS, That we, Big Ben Inc. of 4790 Irvine Blvd. $105-404 Irvine, CA 92620 (hereinafter called the Principal),as Principal, and The Ohio Casualty Insurance Company (hereinafter called the Surety), as Surety are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee)in the penal sum of ten percent of amount bid Dollars( 10,10 ) for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH,That WHEREAS,the Principal has submitted or is about to submit a proposal to the Obligee on a contract for 8 Inch Water Main Extension Project on State Lands, Allstone Drive and Graham Street NOW, THEREFORE, If the said Contract be timely awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for the faithful performance of the said Contract,then this obligation shall be void; otherwise to remain in full force and effect. Signed and sealed this 10th day of November 2016 Big Ben Inc. (Sea]) Principal Witness Title c•, The Ohio Casualty Insurance Company Witness yam- B Cyri hia J. Young Atty ney-in-Fact VZY INS(/ yJ C'aRPO`�v��ti Qa o Z 1919 AU o s , O �yAMP5 da3 �yl * ra LMS-10053 10/99 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ss. County of San Bernardino On I L/ before me, �(i�-(o }t'L�-�o�.>JP. )porl_// Notary Public Name and Title of Officer(e.g.,"Jane Doe,Notary Public") personally appeared Cynthia J Young Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, TAWHA DAVENPORT and that by her signature on the instrument the Commission#2020507 person, or the entity upon behalf of which the person Z +: Notary Public -California Z acted, executed the instrument. Z San Bernardino County i M Comm.Expires May 16.2017 t I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and officia s al. Signatu otary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: IBM ANYM O Individual Top of thumb here O Corporate Officer Title O Partner -- O Limited O General O Attorney-in-Fact O Trustee O Guardian or Conservator Other: Signer is Representing: THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of:Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No.7048718 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire&Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organizedunderthe laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth;does hereby name,constitute and appoint, Cynthia J.Young;Frances Lefler Jay R Freeman Laurie B. bruck•Pamela McCarthy;Susan C.>Monteon. all of the city of San Bernardino ,state of CA each individually if there be more than:one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in 11pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by:the:president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 7th day of July 2015 j yo cAs, �y I s; u, wsua American Fire and Casualty Company, C AS� e P o� ¢;9y P ;ro tQY P` olr�r�^c. The Ohio,Casualt Insurance Companyy qr��. � ,�.. y, T `c Liberty Mutual Insurance Company, m < 1906 0 . o 1919 r, r 1912 ¢ 1.991 C y z West e American Insurance Company y B ' > J��'^"�' - David M.Care Assistant Secretary >_ STATE OF PENNSYLVANIA ss y' cc COUNTY OF MONTGOMERY c dtm On this 7th day of July 2015 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of American.Fire and v!— v 4) Casualty Company,Liberty Mutual Insurance Company,The Ohio Casualty Insurance Company,and West American Insurance Company,and-that he,as such,being authorized'so to do, Cn W p cw execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. L :) > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarialseal.at Plymouth Meeting,Pennsylvania,on the day and year first above written. O o y gP PAST COMMONWEALTH OF PENNSYLVANIA" �) /4�,). Q M NwegyFf! P Notarial Seal - ��"' '^'�`"- �' �/"`"^' - 0 _ z v Teresa Pastella;Notary Public - By• O O 4) of Plymouth Twp.,Montgomery County L Teresa Pastella,Notary Public y C My Commission Expires March 28.2017 cc L V 40 � ��g�� Member,Pennsylvania Association or Notaries O E y �qRY PV a f0 e M This Power ofAttorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company,The Ohio Casualty Insurance cn p y Company,Liberty Mutual Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows:. c�a tM L. ARTICLE IV—OFFICERS-Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O c 4; to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys in=fact,as may be necessary to act in behalf of the Corporation to:make,execute,seal, + O= acknowledge and deliver as surety any and all undertakings,bonds;recognizances and othersurety,obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective -p E y powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal.of the.Corporation. When so m p p executed,such instruments shall be as binding as if signed by the President.and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under > D " the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority.. - r,N cu C ARTICLE XIII-Execution of Contracts-SECTION 5.-Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, E o0 and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make;execute, ,_M O j seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations.- Such attorneys-in-fact subject to the limitations set forth in their =co Z v respective powers of attorney,shall have full power to bind the Company by their,signature and execution of any such instruments and-to attach thereto the seal of the Company. When so V o executed such instruments shall be as binding as if signed by the president and attested by:the secretary. Certificate of Designation.-The President of.the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- ~ fact as may be necessary to act on behalf of the Company:to make,execute,seal,acknowledge and deliver as surety any>and all undertakings;:bonds,recognizances and other surety - obligations: Authorization=By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the" Company,wherever appearing upon-a,certified copy of any power of attorney issued by the Companyn connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Gregory W.Davenport,the undersigned,Assistant Secretary,of American Fire:and Casualty Company,The Ohio Casualty.Insurance:Comp any;Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of:attorney of which the foregoing is a full,true and correct copy:of the Power ofAttorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said.Companies this�day of 20 . �y0 cA,S� - ?�j�INSUH P\'\IvSUgQ, PN 4NSURI._, Q4.;o:worHr•^9�.� H�c°�vo2;,_ F2 tiJ�y;,F�„q yr �,cvVGAgrF < 1906 o 191'3- - " 1912 ` 1991 By: o i ° s 5 a Gregory W.Davenport,Assistant Secretary ��b A.iar.F'•,a'�j` �',5,.'•+,nMecr`�-'.. ij Snn;sFr.F "•'Ulan': 407 of 500 LMS 12873 122013 City of Huntington Beach . ''! 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov EB. : Office of the City Clerk 17,1999 Robin Estanislau, City Clerk January 17, 2017 CHI Construction 701 E. Ball Rd. Anaheim, CA 92805 RE: Water Main Extension Project—CC-1389 Enclosed please find your original bid bond for CC-1389. Sincerely, 44�hv Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand c� O O A � z a w a d ° w � o d Q w � a � O w H � � � x � . a O 'x O oN cn O O LLJ z � o w � z U � v Z � v � � � Z v SECTION C PROPOSAL for the construction of CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefore, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find /� © in the amount of) O % which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Adden"da'1Vo, _ tdder's,Si C-2 SECTION C PROJECT BID SCHEDULE A PROJECT NAME, CC 1389 8-INCH WATER MAIN EXTENSION ON STATE LANDS BID ITEMS Mobilization 1 LS $ E7 ROO $ 10 C)C> 2 Demobilization and Clean-Up 1 LS $,�7fo $ 3 Erosion Control BMPs,WPCP and SWPPP 1 LS $Vor6 o $ © � 4 8" DR 18 AWWA C900 PVC Pipe 1300 LF $/©' $ 9 as 5 Demolish and Remove existing Blow Off Assembly 4 EA $ $ a 6 Disinfection and Pipeline Testing 1 LS $ qo!50 $ O ]o 7 8"Cut in Valve Assembly 3 EA $mil .g�2 $ / Remove and Replace Existing Asphalt Paving Times c� 8 Trench Width 60 LF $ l� $ 8� 9 Top Soil Salvage, Replacement, and Conditioning 1 LS $tea $ TOTAL BID AMOUNT (BASIS OF AWARD) —SCHEDULE A $ TOTAL BID AMOUNT IN WORDS: O/VZE N V AWAEP �5_16&6L JV11VzS i/IoLs dAVDs 2,�Lka Geis Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid wI�stt.•.�e.f"14m,�, �O°a"s.d,�'''w'.�eP r 6-' u a+',n�da, A, dd x€,,�,ro,.:�,o.,,�r,t,x ika::- sL,.S,,tae Cam}l a s$sw fDress t � umbrv�l �mNb , �r a. 4,U rN By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11 i d at Date City State being first duly sworn, deposes and says that he or she is �Jz SID Nf of C, zwl- U�'I-Ja e� the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. CAS/ C�xl.S111-2 UG//4/y Name of Bidder Signature of Bidder Zvi . ���►c` 129— #/0/ Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. CRI C oms"i-1 o Gf oAl/ Contractor By Title Date: 10y1m C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Contractor By Title Date:1/�� C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name n Business Address CA 92 -? c-5 City, State Zip Telephone Number Email Address State Contractor's License No. and Class !�%4I ;?aaq Original Date Issued Expiration Date The work site was inspected by 1V17e'H'AV 411511 of our office on 1/(It/ , 2016. The following are persons, firms, and corporations having a principal interest in this proposal: The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. c'_C4fipany Name Signature of Bidder Printed or Typed Signature GREGORY V. VEIX Subscribed and sworn to before me this Pb day of 0) 201— , '0MM...2049551 cu NOTARY PUBLIC-CALIFORNIA I (D ORANGE COUNTY CJ My term Exp.Dec.14,2017 NOTARY PUBLIC NOTARY SEAL C-8 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. Ll-J ER Name and Address of Public Agency Name and Telephone No. of Project Manager: 3 —2( �-3132 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: f-rslAlG6;flo 2-12 /-//Y,-- G'a/z o12hNz:---,yP-r uti- 2. cIIA ©,C ice Name and Address of Public Agency Name and Telephone No. of Project Manager: %/m ,C'L f/[f!, 9Y:7—Zb q % s 6- 1 . 3 "47/`!-/off l/,2o/ Contract Amount Type of Work Date Completed Provide additional project description to show similar work: J.v �l GG /✓f"Gv .�%,-9/,v -4-9T�h Li!L 3. !VU'r/cJ PQL P15712/c1 Name and Address of Public Agency Name and Telephone No. of Project Manager: V6,PON/Cq XV Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. P Name of proposed Project Manager Telephone No. of proposed Project Manager: f�Iq ?37� Project Name & Contract Amount Type of Work Date Completed CITY' ` l 9 IIVC9 �C9 r-lig1,y!. hqr 2--JC 1'1,11, ? j`'`Z e')`l �- Project Name & Contract Amount Type of Work Date Completed Gcs S� �3F�s�h7 ��°r�TE 1 Sl=el'l�i� ex,/2,:51 Project Name & Contract Amount Type of Work Date Completed Name of proposed Superintendent Telephone No. of proposed Superintendent: qo9 2Z(,7_ o!719 �9 for ry:✓�/��/t?1 6� /�ic/1 l/��'f ��1 a� Project Name & Contract Amount Type of Work Date Completed CYO s J A)Sl,, j,GG�� LP!����1 G���i L`/2o/11 Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 177].](a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efi l ing.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. C11/ C-61Y.S I-2Lc rl LIN Contractor By ` Title Date: /� �� �'�/ DIR#: /rf7c7 vYJ 1C/ C-11 Bid Bond CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal status and principal place of business) Creative Home dba Philadelphia Indemnity Insurance Company CHI Construction One Bala Plaza,Suite 100 This document has important legal 701 E. Ball Rd.#101 Bala Cynwyd, PA 19004-1403 consequences.Consultation with Anaheim, CA 92805 an attorney is encouraged with OWNER: respect to its completion or (Name,legal status and address) modification. City Of Huntington Beach -Department Of Public Works Any singular reference to 2000 Main Street Contractor,Surety,Owner or Huntington Beach, CA 92648 other party shall be considered BOND AMOUNT: I plural where applicable. Ten Percent(10%) of the total amount of the bid PROJECT: (Name,location or address,and Project number,if any) 8-inch Water Main Extension Project on State Lands Project Number,if any: CC No. 1389 Allstone Drive&Graham Street The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 11th day of November,2016 Creative Home dba CHI Construction -� (Principal) (Seal) (l fitness) (Title) Philadelphia In Insurance-.Company (Surety) f0' (Seal) (f stness) Kandis Gregory (Title) Stpdi-A.Swartz,Attorney=in-fact By arrangement with the American Institute of Architects, the National Association of Surety Bond j Producers(NASBP) (www.nasbp.org)makes this form document available to its members, affiliates, and associates in Microsoft Word format for use in the regular course of surety business.NASBP vouches that the original text of this document conforms exactly to the text in AIA Document A310-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users,so careful review of its wording and consultation with an attorney are encouraged before its completion,execution or acceptance. California All-Purpose Certificate of Acknowledgment A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness, accuracy,or validity of that document. State of California County of Orange S.S. On November 11, 2016 before me, Cassandra Fisher, Notary Public Name of Notary Public.Title personally appeared Steven A. Swartz Name of Signer(1) N/A Name of Signer(2) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/axe subscribed to the within instrument and acknowledged to me that he/skelthey executed the same in his/kepOnk authorized capacity(iss), and that by his/km*hek signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I I certify under PENALTY OF PERJURY under the laws --- - - - - CASSANDRA FISHER of the State of California that the foregoing paragraph is Commission#2121476 true and correct. Z Notary Public-California Z Orange County WITNESS lm nd and official seal. My Comm.Expires Jul 30,2019 Seal Signature of Notary Public OPTIONAL INFORMATION Although the information in this section is not required by law, it could prevent fraudulent removal and reattachment of this acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document. Description of Attached Document 1 .1 . 1 . 11. .1 The preceding Certificate of Acknowledgment is attached to a Method of Signer Identification document titled/for the purpose of Proved to me on the basis of satisfactory evidence: Bid Bond E]form(s)of identification E]credible witness(es) containing 1 pages,and dated November 11, 2016 Notarial event is detailed in notaryjournal on: The signer(s)capacity or authority is/are as: Page#_ Entry#_ 0 Individual(s) Notary contact: N Attorney-in-fact Other El Corporate Officer(s) Title(s) El Additional Signer E] Signer(s)Thumbprints(s) 7 El El Guardian/Conservator El Partner-Limited/General El Trustee(s) El Other: representing: Philadelphia Indemnity Insurance Company Narne(s)of Person(s)Enlity(jes)Signer is Representing Oc 2009-2015 Notary Learning Center-All Rights Reserved YOU can purchase copies of this form from our web site at www.TheNotarysStore.corn 8931 PHILADELPHIA INDEMNITY INSURANCE COMPANY 231 St.Asaph's Rd.,Suite 100 Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Steven A.Swartz,Kelly Specht,Lorie Mandel,and Nickd Swartz, Michael Herranen and Thomas C.Buckner of the City of San Clemente,State of California of South Coast Surety,its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds,undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed$25,000,000.00. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the I'day of July,2011. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to: (1)Appoint Attomey(s)in Fact and authorize the Attorney(s)in Fact to execute on behalf of the Company bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; an;(2) to remove, at any time, any such Attomey-in-Fact and revoke the authority given. And,be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so.executed and certified by facsimile signatures and facsimile seal shall be valid and biding upon the Company in the future with the respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF,PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 1 OTa DAY OF TUNE 2013. (Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this I&day of June 2013,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly.sworn sai d that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed. COMMONWFALTH OF PENNMYANIA N-11-1 KimbeAy 0.Kesstesld,Notzry Pu61Ic -My Gunm4ston Eipiits Gac 18-i016 MEMN3L PFa5YlvuM 0.S500A woPNmN17Ec Notary Public: residing at: Bala Cynwyd.PA (Notary Seal) My commission expires: December 18 2016 I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do herby certify that the foregoing resolution of the Board of Directors and this Power of Attomey issued pursuant thereto on this IOT"day of June 2013 true and correct and are still in frill force and effect.I do further certify that Robert D,O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this day of 20 a r Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov ] : Office of the City Clerk 7 1909 Robin Estanislau, City Clerk January 17, 2017 Excel Paving Company 2230 Lemon Ave. Long Beach, CA 90806 RE: Water Main Extension Project—CC-1389 Enclosed please find your original bid bond for CC-1389. Sincerely, 4q4lu e&4Vd.,40 Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand CO WED cD ca 'Airs m Cv) 03 SECTION C PROPOSAL for the construction of CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefore, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. pa, Accompanying this proposal of bid, find Ui oS bm- in the amount 'TEN FFF1CWjjjDEAVOWjW&h said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. �B Bidder shall signify receipt of all Addenda here, if any: Addenda 1Vo. Date Received Bidder's:Si nature \\1 S ilv C-2 SECTION C PROJECT BID SCHEDULE A PROJECT NAME, CC 1389 8—INCH WATER MAIN EXTENSION ON STATE LANDS BID ITEMS 1 Mobilization 1 LS $i1, $ L21 A 0. , 2 Demobilization and Clean-Up 1 LS $ 3yao�— 3 Erosion Control BMPs,WPCP and SWPPP 1 LS $3 .- $ 4 8" DR 18 AWWA C900 PVC Pipe 1300 LF $ B8- $ i 5 Demolish and Remove existing Blow Off Assembly 4 EA $ ( _ $L&qa2 6 Disinfection and Pipeline Testing 1 LS $ _ $ (pin 7 8"Cut in Valve Assembly 3 EA $(p'Bc ._ $ 8 Remove and Replace Existing Asphalt Paving Times 60 LF Trench Width $ (oS, $ - 9 Top Soil Salvage, Replacement, and Conditioning 1 LS $ q $ of m. TOTAL BID AMOUNT(BASIS OF AWARD)—SCHEDULE A TOTAL BID AMOUNT IN WORDS: Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid: Name and Address of State:, C ,lass DIR `' Dollar %of Items) Subcontractor . License Number Amount Contract 1 14mber By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed qo\i 5 Zoe} LONG BEACH CALIFORNIA Date City State G.P. SPIOWN , bein sP%I orn, deposes and says that he or she is PRESIDENT of PAVING MaW, the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. PALP. m EXCEL PAVING C(PAPANY Name of Bidder Signature o Sidder C.P. BROlYNN, PRESIDENT' 2230 LEMON AVENUEt{)� L�'9; 4 cl iibi4, T, Q,49da Address of Bidder C-4 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of LOS ANGELES } On NOV . 5 2016 before me, R. Covington, Notary Public ere insert name and title of the officer) personally appeared C.P. Brown who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/a)v subscribed to the within instrument and acknowledged to me that he/sloe/thoy executed the same in his/her/tleir authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. �eeeeeeeeeeeeeeeeeeeeeeee neeeeeeeeeee. WITNESS my hand and official seal. ° R.COVMTON COMM.##21SM7 - WTA9y PUBLIC-CAL A 4�—M�K— 'eeeeeeYeeee eei�eiieV24ftW141419N � Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT (needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) . State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signers)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. he/she/they;is/ere)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording. [3 Corporate Officer • The notary seal impression must be clear and photographically reproducible. President Impression must not cover text or lines.If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. El Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary), 2015 Version www.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA , Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. PALG W6 EXCEL.PAVING COMPA Contractor By G P. P13JW11 PREISIV;NT Title Date: C-s DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes ® No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 1 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. P RWC. RM, PAIRh6 C(AAPA Contractor 0 r By C.P. BROWN,PRESIDENT Title Date: NOV 15 2016 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: PA LP,INC.n9A DEL RAMJG Bidder Name ?. � r�,ICiJ A1MUE LUK10, REACH,CA WM Business Address City, State Zip ( ($G2)549-5341 Od'V'VA 0.,&AW-60 •Cdm Telephone Number tEmail Address STATE LIC. 606659 W State Contra tor's License No. and Class Original Date Is ued Expiration Date The work site was inspected by of our office on ja 201 . The following are persons, firms, and corporations having a principal interest in this proposal: Curtis P.Brown III . Vice President and Chief Operating Officer Marcia S.Miller Secretary WEL PAWNS co pse The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. KLp p Company Name �''°� _ � 1 hAl—," Signature of Bidder C.P. MOWN, PRFSlp€ n: Printed or Typed Signature Subscribed and sworn to before me this_day of NOV_15 2016 , 201_. SEE ATTACHED NOTARY PUBLIC NOTARY SEAL C-8 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of LOS ANGELES } On NOV 15 2016 before me, R. Covington, Notary Public , ere insert name ona Inle o Meofficer) personally appeared C.P. Brown who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/axe subscribed to the within instrument and acknowledged to me that he/sl*/thoy executed the same in his/hXr/t*ir authorized capacity(ies), and that by his/h006ir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. �non�ue�e�e�o�e�u�e��eeee�n��n�� WITNESS my hand and official seal. - R.COVINGGTON a COMM.#21SM7 WOTARY PUBLIC•CALIPOFOM LOG ANOEL68 OOUNTY. - s "�e°orn"'�0" oe�xanmo e NotaryPublic Signature �us�� A��u�ra�ue� eoA�raraeeeo�ta�oo�P 9 (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) . State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. he/she/they;-is/ere)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection ofdocument recording. EN Corporate Officer • The notary seal impression must be clear and photographically reproducible. President Impression must not cover text or lines.If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version wAw.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: Name and Address of Public Agency Name and Telephone No. of Project Manager: 1D '39q0 .way 'PO Contract Amount Type of Work Date Completed ovide additional project description to show simil work: , f J 2. I, 1f1191P � 1�10�. kei Limim- lh Name and Address of Public Agency Name and Telephone No. of Project Manager: MIA 1z i f Contract Amount Typebf Work lbate Completed P ide additional project description to show silnilar work: 3. v i Name and Address of Public Agency n Name and Telephone No. of Project Manager: CII "! �b1 -ni UqviwU adDlftwq -I Contract Amount Type of Work Date Umpleted rovide addi 'onal project description to show si 'lar work: C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. (AM1. Name of proposed 4oiect Manager Telephone No. of proposed Project Manager: (5 fj 21599"5341 0 A�- Sr 4. S I in Project Name &Contract Amount Type of Work Date ompleted c`® Win , 40LVV nS SlyrK OA0 S741-141 ern m Pro ect Name &Cod act Amount Type of Work Date Completed o L*4u 1 or l - LW(XAh (61 OW 16 dr-F I Project Name &Contract Amount Type of Work Date dompleted 2. Name of proposdd SuperintendeWt Telephone No. of proposed Superintendent: i552i 5�`,'7U�-5L 41 AL Project Name & Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854(citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call(844) 522-6734 https:Hefiling.dir.ca.gov/PWCR/ActionServlet?action--displayPWCRegistrationFonn DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. ,NUM RCEL PAVING COPAPANN Contractor C By C.P. MOWN,PRESIDEK Title Date: w(11] .1 ; 7n16 DIR#: A00( V4� i C-11 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS, ALLSTONE DRIVE AND GRAHAM STREET, CC NO. 1389 November 3.2016 Notice to All Bidders: 1. The bid due date and time shall remain unchanged. Bids are due on November 15, 2016, at 10:00 AM. Bids shall be delivered to the City Clerk's Office. The Bid Opening will be held in the City Council Chambers at 10:00 AM on Tuesday November 15,2016. 2. The project geotechnical investigation was inadvertently omitted from the project specifications. The Geotechnical Investigation Report, City of Huntington Beach Watermain Extension Allstone Drive & Graham Street Huntington Beach, California, by Twining Inc., dated October 28, 2015 is here by incorporated in the project specifications as APPENDIX K. Page vii,the table of contents for the Appendices has been amended as shown herein. 1 of 1 Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW ALL MEN BY THESE PRESENT'S,that we PALP Inc.dba Excel Paving Company as Principal hereinafter called the Principal,and Federal Insurance Company a corporation duly organized under the laws ofthe state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee,hereinafter called the Obligee,in the sum of Ten percent of the total amount of the bid Dollars ($ 10% ), for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves,our heirs, executors, administrators,successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for 8 Inch Water Main Extension(CC1389) NOW,THEREFORE,if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material famished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect. Signed and sealed this 15th day of October , 2016 PALP Inc.dba Excel Paving Company Witness Principal (Seal) By: r e�,, jet. C. E ' . ) T Name/Title Federal Insurance Company Surety (Seal) Witness By: A'�' 0- A 0 Douglas A app Attorney-in-Fact ORSC 21328(5/97) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On October 15, 2016 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(7) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/eey executed the same in his/4ef4I4&authorized capacity{k-- ), and that by hiM9eH4heir signature(* on the instrument the person(s), or the entity upon behalf of which the person(tor) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. sE�OFr�F DEBRA SWANSON N�` s'� COMM. # 1997119 X o NOTARY PUBLIC•CALIFORNIA ORANGE COUNTY N Signature )_Q_�� _ �,c��� v� (Seal) MY COMM.EXP.NOV 10,2016 Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY pacific Indemnity Company Warren, NJ 07059 cNUBe Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo,California----------------—-------------------------------------- each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 16th day of December,2011. Kenneth C.Wendel,Assistant Secretary .Norris,Jr.,Vice President STATE OF NEW JERSEY ss. County of Somerset On this 16th day of December, 2011 before me,a Notary Public of New Jersey,personally came Kenneth C.Wendel,to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he Is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By-Laws of said Companies;and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority;and that he is acquainted with David B.Norris,Jr.,and knows him to be Vice President of said Companies;and that the signature of David B.Norris,Jr.,subscribed to said Power of Attorney is in the genuine handwriting of David B.Norris,Jr.,and was thereto subscribed by authority of said By- Laws and in deponent's presence. .Notarial Seal ADc KATHERINE I ADELAAR NOTARY PUBLIC OF NEW JEkSFI � No.231616665 � e §1 Cofrfm"On Expires JUIy 1b,2014 �<y Notary Public CERTIFICATION Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: "AIL powers of attorney for anO on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved,printed or lithographed.The signature of each of the following officers:Chairman,President,any Vice President,any Assistant Vice President,any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory In the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." I,Kenneth C.Wendel,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY (the"Companies' do hereby certify that (i) the foregoing extract of the By-Laws of the Companies is true and correct, (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S.Treasury Department;further,Federal and Vigilant are licensed in Puerto Rico and the U.S.Virgin Islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (iii) the foregoing Power of Attorney is true,correct and in full force and effect. Given under my hand and seals of said Companies at Warren,NJ this 15TH day of OCTOBER,2016 HAAt.. Wxrry ,r,S�wW�F �y `FP ipt►uW 4�f CO CI 'ILI 9 v - �arANP hSCORttV 4FW Ypgl Kenneth C.We del,Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3656 e-mail: surety@chubb.com Form 15-10-0225B-U (Ed. 5-03) CONSENT CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of LOS ANGELES } Onvl)`t' 2016 before me, R. Covington, Notary Public era insert name and utle bf the wet personally,appeared C.P. Brown who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/ate subscribed to the within instrument and acknowledged to me that he/slYe/thoy executed the same in his/hXr/tleir authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ii: IL COVING'rON COMM.#t2157907 NOTARY KEW•CALIFORNIA _ LOS ANGELES OOUNTY MY Corrurdselon W24/2020 NotaryPublic Signature ''�������������������VIM 9 (Notary Public Seal) INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL INFORMATION This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT (needed,should be completed and attached to the document.AcImowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. he/she/they—is/are)or circling the correct forms.Failure to correctly indicate this El Individual (S) information may lead to rejection ofdocumentrecording. [3 Corporate Officer • The notary seal impression must be clear and photographically reproducible. President Impression must not cover text or lines.If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary), 2015 Version www.NotaryClasseS.Com 800-873-9865 • Securely attach this document to the signed document with a staple. City of Huntington Beach 4a " .} 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536=5227 ♦ www.huntingtonbeachca.gov FEe: ,jgp9�a : Office of the City Clerk Robin Estanislau, City Clerk January 17, 2017 GCI Construction, Inc. 1031 Calle Recodo, Ste. D San Clemente, CA 92673 RE: Water Main Extension Project—CC-1389 Enclosed please find your original bid bond for CC-1389. Sincerely, 4q,OL' &4vd"&J Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand LL � LU U) C) LL < LU < uj Lu F— m z 0 = z 0 3: :Z 0 UJ LL im 0 P- R 0 LU (D U) = LU - LU Ozuoa az- PuF- 3: LL co " > Z LU LU (m o S z '0 cA Map W M LU CLLU ce) CL U- U) Z LU 0 Z z 0 020 �-0 o < Z U) �- u Z U) C) z u UJ -j 0 LU F— —j > CN x LU CU CU co vi fN ca r U N CL) CU p ca 0 0-0 CM 0 CU u 0 E Ln CUL) 0 C=! ---4 Cj CYI u U) ko r-j 0 < -0 0 OU �p u U cl�(1) 6 Ln C: 0 U u U d 0 -1 v) SECTION C PROPOSAL for the construction of CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefore, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find "Bidder's Bond for 10% in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received adder's natur,� 1 11/03/16 Terry D. gillespie- President C-2 SECTION C PROJECT BID SCHEDULE A PROJECT NAME, CC 1389 8-INCH WATER MAIN EXTENSION ON STATE LANDS BID ITEMS -- Wte � �escnpt�o + utity� Uxut nut Cast Total ' st fExten5inn) i < 1 Mobilization 1 LS $15,Soo.vo $ lS,Soo.ou 2 Demobilization and Clean-Up 1 LS $ y 000.Go $ 4.000.oo 3 Erosion Control BMPs,WPCP and SWPPP 1 LS $5 00.00 $ sz o.cc 4 8" DR 18AWWAC900 PVC Pipe 1300 LF $-S.00 $ 9-TIS00.00 5 Demolish and Remove existing Blow Off Assembly 4 EA $1,000.00 $ 141000.uo 6 Disinfection and Pipeline Testing 1 LS $2,2Jo.co $ �,2 oo•co 7 8"Cut in Valve Assembly 3 EA $�,soo.00 $az,svo.co 8 Remove and Replace Existing Asphalt Paving Times 60 LF Trench Width $ 90.00 $ 5,-100.06 9 Top Soil Salvage, Replacement, and Conditioning 1 LS $ 12,000.00 $ ia,00c•oo TOTAL BID AMOUNT(BASIS OF AWARD) —SCHEDULE A $ 168,300•o 0 TOTAL BID AMOUNT IN WORDS: one- Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Mill, Name and Address'of State Class DIR Dollar %of Item(s) Subcontractor License Number Amount Contract Number No Solos . By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/14/16 at San Clemente CA Date City State Terry D. Gillespie , being first duly sworn, deposes and says that he 6YAk is President of GCI Construction, Inc. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. GCI Construction, Inc. Name of B' er U_V/ a., Signature of Bidder Terry D. Gillespie-President 1031 Calle Recodo, Ste. D, San Clemente 92673 Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange On I\,��� .� ft I�, '�((/ before me, Janet Gillespie- Notary Public Date Here Insert Name and Title of the Officer personally appeared Terry D. Gillespie Name0yof Signer(a)— who proved to me on the basis of satisfactory evidence to be the person.N whose names) is/arcs subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/.Mel/their authorized capacity(ies),and that by his/her/their signatures)-on the instrument the person(Sr, or the entity upon behalf of which the person(a)'acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. rail G�204 : -. Commission alo Notary Public-California z Signature Z Orange County D Signature of Notary Pubic My Comm.Expires Dec 21,2017 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association• www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. GCI Construction, Inc. Contractor By Terry D Gillespie President Title Date: November 14, 2016 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes Il No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. GCI Construction, Inc. Contractor By Terk D. illespie President Title Date: November 14, 2016 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: GCI Construction, Inc. Bidder Name 1031 Calle Recodo, Suite D Business Address San Clemente California 92673 City, State Zip ( 714 ) 957-0233 tdg@gciconstruction.com Telephone Number Email Address 755356; Class"A" State Contractor's License No. and Class 10/1998 Original Date Issued 10/31/2018 Expiration Date The work site was inspected by Chuck Gillespie of our office on November 8 , 2016 The following are persons, firms, and corporations having a principal interest in this proposal: GCI Construction, Inc. (corporation) Terry D. Gillespie - President Charles L. Gillespie -Vice President Janet Gillespie - Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the cont t for theXroosed work and improvements in accordance with the plans and specifications e fo j. GCI Construction, Inc. Company Name Signature of Bidder Terry D. Gillespie- President Printed or Typed Signature r JANET GILLESPIE : •. Commission #2049968 Subscribed and sworn to before me this 4441day of�OLZOq&C 201U. Z �:',°� .i; Notary Public California z z Orange County > My Comm.Expires Dec 21,2017 NOTARY PUBLIC NOTARY SEAL C-s Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1 SEE ATTACHED PROJECT REFERENCES Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Terry D. Gillespie Name of proposed Project Manager Telephone No. of proposed Project Manager: 714-721-8661 See attached Project Name & Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed 2. Charles(Chuck) Gillespie Name of proposed Superintendent Telephone No. of proposed Superintendent: 714-721-8656 See attached Project Name & Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublieWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call(844) 522-6734 https:Hefiling.dir.ca.gov/P WCR/ActionServlet?action=displayP WCRegistrationFonn DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on,be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. GCI Constructi Inc. Contractor By T rry D. iiiespie President Title Date: November 14, 2016 DIR#: 1000001150 C-11 GCI CONSTRUCTION,INC. REFERENCES FOR COMPLETED PROJECTS LIST Customer Contact Information Job#/Description Contract Amt. Completion Date TRABUCO CANYON WATER DISTRICT Job No.463 $ 58,812.00 April 2016 Louie Lausten,P.E. I Reclaimed Line Conversion 32003 Dove Canyon Drive On-Site (Nursery) Trabuco Canyon,CA 92679 Location: (949)858-0277,ext.130 Trabuco Canyon Rd.and fax(949)858-3025 Alta Vista Ranch,RSM CITY OF NEWPORT BEACH Job No.469 $ 72,812.00 April 2016 100 Civic Center Drive Balboa Avenue Water Main Newport Beach,CA 92660 Replacement Mike Sinacori Location:Balboa Ave.&PCH ph(949)644-3311 Newport Beach TRABUCO CANYON WATER DISTRICT Job No.4 22 $ 29,234.00 March 2016 Lorrie Lausten,P.E. Reclaimed Line Conversion 32003 Dove Canyon Drive Off-Site Trabuco Canyon,CA 92679 Location: (949)858-0277,ext.130 Trabuco Canyon Rd.and fax(949)858-3025 Alta Vista Ranch,RSM CITY OF SAN CLEMENT_E Job No.470 $ 25,759.00 March 2016 Greg Deist,P.E. Emergency Repair of 16"RW 910 Ca lie Negocio Pipe-Project No.24401 San Clemente,CA 92673 Location: Vista Hermosa ph(949)361-6154 San Clemente fax(949)361-8316 EMERALD BAY SERVICES DISTRICT Job No.460 $ 59,215.00 Feb 2016 Michael Dunbar,P.E. Emerald Bay Storm Drain at#68 600 Emerald Bay 1 Emerald Bay(Beach Sewer Laguna Beach,CA Lift Station) ph(949)494-8572 Location: Engineer: Rob Harriers&Associates 68 Emerald Bay,Laguna Beach Rob Harriers 234 E.17th Street,Suite 205 Costa Mesa,CA 92627 ph(949)548-1192 fax(949)548-6516 I ; EMERALD BAY SERVICES DISTRICT Job No.457 $ 153,706.00 Feb 2016 Michael Dunbar,P.E. Storm Drain Improvement at 600 Emerald Bay #1054113 Emerald Bay Laguna Beach,CA ph(949)494-8572 Location: Engineer: Rob Harriers&Associates #105 to#113 Emerald Bay Drive Rob Harriers Emerald Bay 234 E.17th Street,Suite 205 Laguna Beach Costa Mesa,CA 92627 ph(949)548-1192 fax(949)548-6516 CITY OF CYPRESS Job No.456 $ 101,665.00 Jan 2016 Dario Simones,P.E. Storm Drain Improvement 5275 Orange Avenue Project No.115 Cypress,CA 90630 Location: ph(714)229-6694 5700 Orange Avenue,Cypress fax(714)229-0154 CITY OF WESTMINSTER Job No.459 $ 37,000.00 Dec 2015 Tuan Pham,P.E. I Springdale/Iroquois Catch Basins 8200 Westminster Blvd. Location: Westminster,CA 92683 Springdale St.&Iroquois ph(714)548-3456 Westminster fax(714)895-4499 CITY OF ONTARIO Job No.443 $ 959,066.00 October 2015 Dennis Mejia,P.E. Sewer Main Improvements 1425 Soutn Bon View Avenue Riverside Ave.,Plaza Serena, Ontario,CA 91761 Bon View Ave.,University of ph 909-395-2609 La Verne fax 909-395-2608 Contract No.UT 1314-06 IRVINE UNIFIED SCHOOL DISTRICT Job No.450 $ 108,252.00 November 2015 Construction&Facilities Irvine High School Classroom 100 Nightmist Addition-Sanitary Sewer Service Irvine,CA 92618 Project#600N-3-14-861 Construction_Manager Location: Bernard's I I Irvine High School Brooke Duncan,P.M. 4321 Walnut Avenue 4321 Walnut Avenue Irvine,CA 92604 Irvine,CA 92604 CITY OF SAN CLEMENTE Job No.449 $236,522 August 2015 Ken Knatz,P.E. East Avenida Magdalena 910 Calle Negocio Water Line Upsize-Project No.15403 San Clemente,CA 92673 Location: ph(949)361-6139 East Avenida Magdalena fax(949)361-8316 &Ardella Lane,San Clemente LAGUNA BEACH CO.WATER DISTRICT Job No.448 $64,302 June 2015 Dave Rusk,P.E. Emergency 2-Inch PVC Pipeline Repair 306 Third Street Rounsevel Terrace Laguna Beach,CA 92652 Location: ph 949-494-1041 Rounsevel Terrace fax 949-497-1021 Laguna Beach LAGUNA BEACH CO.WATER DISTRICT Job No.444 $162,164 May 2015 Dave Rusk,P.E. 2014-2015 Valve&Fire Hydrant 306 Third Street Replacement Project-Phase II Laguna Beach,CA 92652 Location: ph 949-494-1041 5 Locations,City of Laguna Beach fax 949-497-1021 TRABUCO CANYON WATER DISTRICT Job No.434 $284,316 April 2015 Lome Lausten,P.E. I Shadow Rock Detention Basin Urban 32003 Dove Canyon Drive Water Recovery Project Trabuco Canyon,CA 92679 Pump Station-Project No.6147-B (949)858-0277,ext.130 Location: fax(949)8 -3025-1 Shadow Rock Detention Basin 20607 1/2 Shadow Rock Lane,Trabuco Canyon CITY OF IRVINE Job No.438 $521,378 March 2015 Kirk Streets,Sen.P.M. Orange County Great Park One Civic Center Plaza Interim Infrastructure Irvine,CA 92623 Capital Improvement Project-CIP No.371406 (949)724-7554 Location: kstreets(a ci.irvine.ca.us Orange County Great Park Barranca Parkway&Technology Drive,Irvine MOULTON NIGUEL WATER DISTRICT Job No.428 $457,878 January 2015 Ray McDowell,P.E. La Paz/Moulton PW System 26161 Gordon Road Reconfiguration-CIP Proj.No.2012.034 Laguna Hills,CA Location: ph(949)425-3527 La Paz Road,Moulton Parkway. fax(949)643-2489 &various locations,Laguna Hills CITY OF DANA POINT Job No.437 $195,596 January 2015 Robert French,PE I IZarzito Formosa Storm Drain 33282 Golden Lantern Emergency Repair Dana Point,CA 92629 Location: ph (949)337-0520 Zarzito St.&Formosa Dr. Dana Point CITY OF TUSTIN Job No.425 $850,373 December 2014 Eric Johnson,P.E. Williams Street Storm Drain 300 Centennial Way Proj.CIP No.50037 Tustin,CA 92780 Location: ph(714)573-3320 Williams Street,Tustin fax(714)734-8991 i ORANGE COUNTY WATER DISTRICT Job No.431 $ 99,218.00 December 2014 Audrey Perry,PM Santiago Pipeline Access Project 18700 Ward Street Contract No.SC-2014-1 Fountain Valley,CA 92708 Location: ph (714)378-8245 CollinsStreet at Tustin Avenue fax(714)378-3373 Orange COSTA MESA SAITARY DISTRICT Job No.439 $ 68,400.00 December 2014 Rob Harriers,P.M. Emergency Sewer Force Main Repair 628 W.19th Street President Place,Costa Mesa Costa Mesa,CA 92627 ph(949)631-1731 fax(949)548-6516 SADDLEBACK COLLEGE Job No.433 $ 96,555.00 November 2014 Louis Sessler,Proj.Mgr. Emergency Waterline Repair 28000 Marguerite Parkway Saddleback College Mission Viejo,CA 92692 ph(949)582-4947 MOULTON NIGUEL WATER DISTRICT Job No.429 $63,000 September 2014 Ray McDowell,P.E. Via Lomas Pipeline-Slope Repair 26161 Gordon Road Contract No.13-14.037 Laguna Hills,CA Location: ph(949)425-3527 Via Lomas,Laguna Hills fax(949)643-2489 COSTA MESA SAITARY DISTRICT Job No.407 $602,972 September 2014 Rob Harriers,P.M. Installation of Backup Power& 628 W.19th Street Backup Pumping Capacity Costa Mesa,CA 92627 Project No.196-A ph(949)631-1731 Location: fax(949)548-6516 Victoria,Mendoza and Mesa Drive Costa Mesa CITY OF LAGUNA NIGUEL Job No.421 $298,971 August 2014 Nick Renn,P.E. I Crown Valley Park Water&Sewer 30111 Crown Valley Parkway Improvements Laguna Niguel,CA 92677 Cash Contract No.14-05 ph 949-362-4337 Location: fax 949-362-4385 Crown Valley Community Park 29751 Crown Valley Pkwy,Laguna Niguel CITY OF NEWPORT BEACH Job No.426 $ 19,650.00 August 2014 100 Civic Center Drive Irrigation Services,Meters& Newport Beach,CA 92660 Backflow-Dover Drive Mike Sinacori Newport Beach ph(949)644-3311 LAGUNA BEACH CO.WATER DISTRICT Job No.423 $111,694 July 2014 Dave Rusk,P.E. Emerald Bay Waterline 306 Third Street Replacement-1425 Kilkenny Road Laguna Beach,CA 92652 Location: ph 949-494-1041 1 1425 Kilkenn Road,Laguna Beach fax 949-497-1021 COSTA MESA SAITARY DISTRICT Job No.424 $90,652 July 2014 Rob Harriers,P.M. Force Main Replacement at 628 W.19th Street Mendoza Pump Station Costa Mesa,CA 92627 Project No.200-A ph(949)631-1731 Location: fax(949)548-6516 Mendoza Drive,Costa Mesa CITY OF NEWPORT BEACH Job No.427 $ 11,477.00 _July 2014 100 Civic Center Drive Hydrant Relocation at Newport Beach,CA 92660 Cornwall&Dover Drive Mike Sinacori Newport Beach ph(949)644-3311 CITY OF SAN CLEMENTE Job No.410-Sarmentoso Pressure $204,686 May 2014 Ken Knatz,P.E. Reducing Station Rehabilitation 910 Calle Negocio Project No.13406 San Clemente,CA 92673 Location: ph(949)361-6139 Sarmentoso&Riachuelo fax(949)361-8316 San Clemente IRVINE RANCH WATER DISTRICT Job 405- Initial Disinfection Facility 15600 Sand Canyon Avenue Chlorine Injection Line Replacement $1,087,178 April 2014 Irvine,CA 92618 PR 11669 Alex Murphy,P.E. Location: ph(949)453-5863 Susan Steet between Warner Ave. fax(949)496-1244 &Segerstrom Ave.,Santa Ana DANA POINT HEADLANDS HOA Job 416-Sewer Pump Station $122,722 April 2014 Pravin Mody Dana Strand 34385 Dana Strand Road Location: Dana Point,CA 92627 34385 Dana Strand Road Consultant: Robin B Harriers&Associates Inc. Dana Point ph (949)548-1192 fax(949-548-6516 CITY OF SAN CLEMENTE Job 415-Avenida Vista Hermosa $134,248 April 2014 Amir Ilkhanipour,P.E. Emergency Water Line Repair 910 Calle Negocio I I Project No.24401 San Clemente,CA 92673 Location: ph(949)361-6140 Avenida Vista Hermosa fax(949)361-8316 San Clemente CITY OF SAN CLEMENTE Job 402-Los Mares/Vaquero $901,906 December 2013 Amir Ilkhanipour,P.E. Storm Drain Upgrade 910 Calle Negocio Project No.16001 San Clemente,CA 92673 Location: ph(949)361-6140 Camino De Los Mares& fax(949)361-8316 Avenida Vaquero,San Clemente HARDY&HARPER,INC. Job 400-Saddleback Church Steve Krischner Parking Lot&Site Utilities $519,183 September 2013 1312 E.Warner Avenue Location: Santa Ana,CA 92705 Saddleback Church ph 714-444-1851 1311 Calle Batido,San Clemente fax 714-444-2801 LAGUNA BEACH CO.WATER DISTRICT Job 396-Manzanita Drive $381,296 August 2013 Dave Rusk,P.E. Waterline Improvements 306 Third Street Location: Laguna Beach,CA 92652 Manzanita Drive,Laguna Beach ph 949-494-1041 fax 949-497-1021 LAGUNA BEACH CO.WATER DISTRICT Job 397-2-Inch PVC Waterline $496,581 August 2013 Dave Rusk,P.E. Improvements-Various Locations 306 Third Street Location: Laguna Beach,CA 92652 various locations in the ph 949-494-1041 City of Laguna Beach fax 949-497-1021 CITY OF WESTMINSTER Job 392-Residential Area 1 $1,294,522 May 2013 Tuan Pham,P.E. Storm Drain Improvements Project 8200 Westminster Blvd. Location: Westminster,CA 92683 Westminster Avenue,Beach Blvd., ph(714)548-3456 Pacific Avenue,23rd Street, fax(714)895-4499 Westminster CITY OF SAN CLEMENTE 395-Well Treatment Backwash $187,631 May 2013 Ken Knatz,P.E. Pipeline and Vaquero Waterline 910 Calle Negocio I Replacement-Proj.No.24401 San Clemente,CA 92673 Location: ph(949)361-6139 1 Calle Bahia&Ave.Santa Margarita, fax(949)361-8316 and Ave.Vaquero,San Clemente CITY OF SAN CLEMENTE 391-Vista Cayenta Pressure $174,401 April 2013 Ken Knatz,P.E. Reducing Station Rehabilitation 910 Calle Negocio San Clemente,CA 92673 Location: ph(949)361-6139 Vista Cayenta at Ave.Buena Suerte fax(949)361-8316 San Clemente CITY OF WESTMINSTER 388-Storm Drain and Water $254,700 February 2013 Tuan Pham,P.E. I Improvements for Well No.4 at 8200 Westminster Blvd. Elden F.Gillespie Park Westminster,CA 92683 Location: ph(714)548-3456 McFadden Ave.,Westminster fax(714)895-4499 CITY OF SAN CLEMENTE 386-Alameda Storm Drain $131,648 February 2013 Greg Deist,P.E. Rehabilitation-Proj.No.10011 910 Calle Negocio San Clemente,CA 92673 Location: ph(949)361-6154 Alameda Lane fax(949)361-8316 San Clemente I CITY OF LA HABRA 1390-Portola Well Pipeline $543,127 December 2012 Brian Jones,P.M. Project-Proj.No.2-W-12 201 E.La Habra Blvd. La Habra,CA 90633 Location: ph(562)905-9792 Walnut St.&Acacia St., fax(562)905-9643 La Habra IRVINE RANCH_WATER DISTRICT_ 382-Modjeska Canyon Road $224,957 November 2012 15600 Sand Canyon Avenue Domestic Water Pipeline Relocation Irvine,CA 92618 Tom Bonkowski,P.M. Location: ph(949)453-5692 Modjeska Canyon Road east of fax(949)496-1244 Santiago Canyon Road CITY OF SAN CLEMENTE 380-San Gabriel Force Main $477,157 October 2012 Greg Deist,P.E. Rehabilitation-Proj.No.12203 910 Calle Negocio San Clemente,CA 92673 Location: ph(949)361-6154 El Camino Real from Ave.Cabrillo fax(949)361-8316 Ito Ave.Junipero,San Clemente CITY OF INDUSTRY 371-Industry Hills Lake Loop Road $153,790 July 2012 John Ballas Potable Water System Booster 15625 E.Stafford Street,Ste.100 Pump Station City of Industry,CA 91744 Location: ph(626)333-2211 Handorr Road&Temple Ave. fax(626)961-6795 City of Industry Engineer/Prof.Mgr. CNC Engineering Gerardo Perez,P.E. 255 N.Hacienda Blvd.,Ste.222 City of Industry,CA 91744 ph(626)333-0336 fax(626)336-7076 COSTA MESA SAITARY DISTRICT 377-Canyon Force Main $104,540 July 2012 Rob Hamers,P.M. 628 W.19th Street Location: Costa Mesa,CA 92627 Wilson St.from Canyon Drive ph(949)631-1731 to Republic,Costa Mesa fax(949)548-6516 CITY OF LAGUNA BEACH 357-Circle Way Storm Drain& $1,050,702 Feb.2012 Lisa Parma,P.E. Stairs Repair-CIP 364 505 Forest Avenue Location: Laguna Beach,CA 92651 Circle Way,Laguna Beach ph(949)497-0792 fax(949)497-0771 I COSTA MESA SAITARY DISTRICT 369-Irvine Force Main Rehabilitation $293,500 June 2012 Rob Hamers,P.M. 628 W.19th Street I Location: Costa Mesa,CA 92627 Mesa Drive in Costa Mesa ph(949)631-1731 fax(949)548-6516 SOUTH COAST WATER DISTRICT 3654A Potable Water $166,156 June 2012 Joe Sinacori,P.E. Reservoir Site Improvements 31592 West Street Location: Laguna Beach,CA 92607 Baltic Sea Drive,Dana Point ph(949)499-4555 fax(949)499-4256 I IR_VINE RANCH WATER DISTRICT 368-Meter&Valve Vault Lid $128,579 July 2012 15600 Sand Canyon Avenue Replacement-PR11358&31358 Irvine,CA 92618 Tom Bonkowski,P.M. Location: ph 949)453-5692 Various locations in Irvine, fax(949)496-1244 Newport Beach, COUNTY OF ORANGEIOC PUBLIC WORKS 374-Daniger Road Drainage $83,251 June 2012 John R.Kort,P.E. I Improvements 2301 N.Glassell Street Orange,CA 92865 Location: ph(714)955-0231 Daniger Road&Coralwood Dr. fax(714)667-7551 Cowan Heights COUNTY OF ORANGEIOC PUBLIC WORKS 376-Relocation of Water $9,938 June 2012 John R.Kort,P.E. I Laterals&Fire Hydrant Valve 2301 N.Glassell Street for Daniger Road Drainag_e Orange,CA 92865 Location: ph(714)955-0231 Daniger Road&Coralwood Dr. fax(714)667-7551 Cowan Heights I FEDEX GROUND 353-FedEx Ground Rialto Hub 1 $921,031 April 2012 1000 Fedex Drive and Local City Expansion Ph.5 Moon Township,PA 15108 General Contractor I Location: Questar Construction 330 Resource Drive Greg Manary I Bloomington,CA 20062 SW Birch Street,Ste.300 Newport Beach,CA 92660 ph(949)250-0060 fax(949)250-0070 I SOUTH COAST WATER DISTRICT 364-Valve Replacements $347,327 March 2012 Joe Sinacori,P.E. Contract No.11-01-0055 31592 West Street Location: Laguna Beach,CA 92607 16 Locations in the cities of ph(949)499-4555 Laguna Beach,Dana Point, fax(949)499-4256 San Clemente I COUNTY OF ORANGE 370-Skyline Drive Storm Drain $115,940 March 2012 Hiram T.Downard Phase III 1152 Fruit Street Santa Ana,CA 92701 Location: ph(714)567-7812 Skyline Dr.@ Raquat Hill fax(714)567-7813 Santa Ana General Contractor Bitech construction Co.,Inc. Benjamin Kim,P.M. 5241 Lincoln Avenue,Ste.#A-6 Cypress,CA 90630 ph(714)229-1477 fax(714)229-1489 I CITY OF INDUSTRY 367-Chestnut&Virgil Waters Way $104,379 Jan.2012 John Ballas Drainage 15625 E.Stafford Street,Ste.100 City of Industry,CA 91744 Location: ph(626)333-2211 Chestnut&Virgil Waters Way. fax(626)961-6795 Cud Court,City of Industry Engineer/Prof.Mar. CNC Engineering Dale Masl,P.E. 255 N.Hacienda Blvd.,Ste.222 City of Industry,CA 91744 ph(626)333-0336 fax(626)336-7076 CITY OF SAN CLEMENTE 355-Reservoir No.4 Pipeline $276,080 Nov.2011 Greg Deist,P.E. Replacement Project 910 Calle Negocio San Clemente,CA 92673 Location: ph(949)361-6154 Avenida Columbo&Avenida fax(949)361-8316 Salvador,San Clemente CITY OF TUSTIN 354-Mitchell Avenue Storm $791,512 Nov.2011 Eric Johson,P.E. Drain-CIP No.50035 300 Centennial Way Tustin,CA 92780 Location: ph(714)573-3320 Mitchell Ave.between Redhill fax(714)734-8991 &Newport Ave.,Tustin CITY OF SAN CLEMENTE_ 359-San Gabriel Pump Station $81,463 Oct.2011 Greg Deist,P.E. Sewer Pipe Replacement 910 Calle Negocio Proj.No.24200 San Clemente,CA 92673 Location: ph(949)361-6154 1 Avenida San Gabriel& fax(949)361-8316 El Camino Real,San Clemente YORBA LINDA WATER DISTRICT 337-Emergency Pumpout $342,059 Sept.2011 Hank Samaripa Facilities/Anaheim Interconnect 4622 Plumosa Drive Project Yorba Linda,CA 92885-0309 Location: (714)701-3105 Six various sites in the Cities of fax(714)777-8304 Yorba Linda&Anaheim I DEL AMO CONSTRUCTION.INC. 352-St.Margaret's Edison $120,116 Aug.2011 Kenney Wiley I Line Excavate&Backfill 23840 Madison Street Torrance,CA 90505 Location: ph(310)378-6203 St.Margaret's School fax(310)378-4663 31511 La Novia Avenue San Juan Capistrano IRVINE RANCH WATER DISTRICT 351-Handy Creek Bridge $223,321 Aug.2011 15600 Sand Canyon Avenue Distribution Main Crossing Irvine,CA 92618 Randy Sundberg,P.E. Location: ph(949)453-5551 Orange Park Blvd.& fax(949)496-1244 Handy Creek,Orange KIEWIT 349-Replacement of Bitter $148,270 June 2011 John Reynolds Point Pump Station Project 10704 Shoemaker Road Santa Fe Springs,CA 90670 Location: ph(562)946-1816 1 Bitter Point Pump Station fax(562)946-3823 5810 W.Pacific Coast Hwy. Newport Beach COUNTY OF GRAN_GE/OC PUBLIC WORKS 334-Santiago Canyon Road $285,383 April 2011 Tim Nguyen,P.E. Storm Drain Repair 1152E Fruit Street Santa Ana,CA 92702-4048 Location: ph(714)567-7829 Santiago Canyon Road north fax(714)567-7813 of Gertner Estate Rd.,Trabuco THREE ARCH BAY COMMUNITY SERV_ICES_DI_ST. Drew Harper 1314 Vista De Catalina Storm Drain $723,602 Feb.2011 5 Bay Drive Improvement Project Laguna Beach,CA 92651 Location: ph(949)851-1015 Vista De Catalina and Project Mgmt.: Vista Del Sol,Laguna Beach Gamache Construction Services Randy Gamache 20201 SW Birch Street,Ste.240 Newport Beach,CA 92660 ph(949)599-6516 ga mache3104(o)va hoo.com CITY OF SAN JUAN CAPISTRANO 1329 Equipping of Eastern Wells $842,054 Feb.2011 Joe Mankawich,P.M. CIP No.08802 32400 Paseo Adelanto Location: San Juan Capistrano,CA 92675 Calle Arroyo, ph(949)493-1171 San Juan Capistrano fax(949)493-1053 CITY OF ANAHEIM 312 Parkview Pump Station Extension $1,600,744 Dec.2010 Michael Fileccia Location: 200 S.Anaheim Blvd. 6731 E.Walnut Canyon Road Anaheim,CA 92805 Anaheim ph(714)765-4427 fax(714)765-4199 CITY OF NEWPORT BEACH 331 Newport Beach Civic Center $247,880 Dec.2010 3300 Newport Boulevard &Park Project Newport Beach,CA 92663 Location: Mike Sinacori Avocado Ave.&San Miguel Dr. ph(949)644-3311 Newport Beach Proiec_t Mqr. C.W.Driver Rick Shafer,P.E. 15615 Alton Parkway,Suite 150 Irvine,CA 92618 ph(949)261-5100 fax(949)261-5167 COAST COMMUNITY COLLEGE DISTRICT 327 Orange Coast College Student $240,054 Nov.2010 Ardith Richey I Swing Space-Bid No.1974 1370 Adams Avenue Grading/Site Utilities/Asphalt Costa Mesa,CA 92626 Location: ph(714)438-4673 1 1 2701 Fairview Road fax(714)438-48931 1 Costa Mesa Project Mar. C.W.Driver Randy Rankin,P.E. 15615 Afton Parkway,Suite 150 Irvine,CA 92618 ph(949)261-5100 fax(949)261-5167 IRVINE RANCH WATER DISTRICT 321 Recycled Water Service Lateral $250,250 Nov.2010 15600 Sand Canyon Avenue &On-Site Recovery Systems Irvine,CA 92618 Location: Luminita Popescu Newport Coast Dr.&Sage Hill ph(949)453-5787 Newport Beach fax(949)476-2854 IRVINE RANCH WATER DISTRICT 330 Relocation of Backflow Devices $224,848 Nov.2010 15600 Sand Canyon Avenue in Irvine Business Complex Irvine,CA 92618 Project No.11449 Randy Sundberg Location: ph(949)453-5551 Murphy Ave.&McGaw Ave..Irvine fax 949)496-1244 � I CITY OF LAGUNA WOODS 328 El Toro Road Storm Drain $323,282 Sept.2010 24264 El Toro Road Improvements Laguna Woods,CA 92637 Location: Dennis Nelson Avenida Sevilla,Laguna Woods ph(949)639-0500 fax(949)639-0591 EL TORO WATER DISTRICT 317 Reduced High Zone Hydraulic $425,473 July 2010 24251 Los Alisos Blvd. Improvements Project Lake Forest,CA 92630 Location: Dennis Cafferty 1)Via San Rafael&Via Iglesia,Laguna Woods ph(949)837-7050 2)Tital St.&Horse Trail,Aliso Viejo fax(949)837-7092 CALIFORNIA STATE UNIVERSITY 306 North Deukmejian Way $1,308,551 Dec.2009 LONG BEACH Replace Road&Utilities Mike Kelly Location: 1250 Bellflower Blvd. 1250 Bellflower Blvd. Long Beach,CA 90840 Long Beach ph(562)985-8160 fax(562)985-7539 CITY OF VILLA PARK Cannon Street Slough Wall $238,679 Oct.2009 Joe O'Neil and Slope Upgrade 17855 Santiago Blvd. Location: Villa Park,CA Cannon Street&Serrano, ph(714)998-1500 Villa Park fax(714)998-1508 CITY OF SAN CLEMENTE La Placentia,Calle Campo& $273,617 April 2009 Ken Knatzl IRevuelta Court Pipe Connection 910 Calle Negocio San Clemente,CA 92673 Location: ph(949)361-6139 La Placentia,Calle Campo, fax(949)361-8316 Revuelto Ct.,San Clemente I SOUTH COAST WATER DISTRICT 262 Pines Park Pipeline $408,975 Dec.2008 Joe Sinacori,P.E. 31592 West Street I Location: Laguna Beach,CA 92607 Pines Park on Camino Capistrano ph(949)499-4555 &Calle Loma,Dana Point fax(949)499-4256 CITY OF GARDEN GROVE 269 Cardinal Circle Sewer Improvements $536,159 Nov.2008 Samuel Kim (Project No.7810) 11222 Acacia Avenue Garden Grove Sanitary District Garden Grove,CA 92843 Location: ph(714)741-5534 Cardinal Circle&Trask Avenue fax(714)741-5578 Garden Grove COAST COMMUNITY COLLEGE DISTRICT 228 Orange Coast College East/West $2,402,031 July 2007 Ardith Richey I Utility Upgrade Phase 1-Underground Utilities 1370 Adams Avenue 245 Orange Coast College East/West $1,678,938 Costa Mesa,CA 92626 Utility Upgrade Phase 11-Demo/Earthwork/Grading ph(714)438-4673 233 District Administration Building Complex $739,850 fax(714)438-4893 Bid No.1920-Underground Utilities 296 Orange Coast College Softball Field $126,419 Apri12009 327 OCC Student Center Swing Space $260,245 August 2010 Bid No.1974-Grading/Site Utilities/Asphalt Location: Orange Coast College 1370 Adams Avenue Costa Mesa GKK WORKS 250 Tustin Library $1,016,413 August 2008 Ross Harvey 2355 Main Street,Suite 220 Location: Irvine,CA 92614 345 E.Main Street,Tustin ph(949)250-1500 fax(949)955-1662 I I i CERRITOS COMMUNITY COLLEGE DIST 277 Cerritos College-Ph III $458,784 jAugust2008 Attn:Bovis 11110 E.Alondra Blvd. Location: Norwalk,CA 90650 Studebaker Rd.south of ph(562)860-2451 Alondra Blvd.,Norwalk Minako America Corp.(General Contractor) Moses Khalili(310)516-8100,fax(310)516-7404 BOMEL CONSTRUCTION COMPANY,INC. 234 Irvine Station Parking $971,685 Dec.2007 Eddie Kim Structure 8195 E.Kaiser Blvd. Anaheim Hills,CA 92808 Location: ph(714)279-3232 Barranca Pkwy.&Ada,Irvine fax(714)921-4135 IRVINE RANCH WATER DISTRICT 243 Domestic Water Interconnection $734,808 Dec.2007 -- Billy Stewart 1 1 1 (IRWD Zone 4/LAWD Zone 1) 15600 Sand Canyon Avenue Irvine,CA 92618 Location: (949)453-5610 Bake Pkwy.&Toledo Way fax(949)453-5354 Irvine LAGUNA BEACH COUNTY WATER DISTRICT 236 2006-2007 Capital Im rovements $ 647,805.00 Nov.2007 Jim Nester Projects 306 Third Street Laguna Beach,CA 92652 Location: (949)494-1041 Various locations in the fax(949)497-1021 City of Laguna Beach COUNTY OF ORANGE RDMD 240 Brenan Way Drainage Improvements $524,681 Oct.2007 Hiram Downard,Rick Allen &Pavement Overlay 1152 E.Fruit Street Santa Ana,CA 92702-4048 Location: (714)567-7812 Brenan Way at Auburn Ave. fax(714)567-7813 Tustin D B A C.INC. 244 Second Harvest Food Bank $435,744 Oct.2007 John Curci 101Shipyard Way,Suite A Location: Newport Beach,CA 92663 7040 Trabuco Rd.,MCAD Bldg 319 (949)723-0147 Irvine fax(949)723-0126 TRABUCO CANYON WATER DISTRICT 235 Dry Season Water Recovery Project $738,414 Oct.2007 Hector Ruiz,P.E. I I Dove Creek&Tick Creek Urban Water 32003 Dove Canyon Drive Pump Stations Trabuco Canyon,CA 92679 Location: (949)858-0277 End of Barneburg @ Sycamore Canyon Dr. fax(949)858-3025 off access road,Trabuco Canyon YORBA LINDA WATER DISTRICT 239 24-Inch&30-Inch Storm Drain $443,610 August 2007 Hank Samaripa Miraloma Ave.&Van Buren St. 4622 Plumosa Drive Yorba Linda,CA 92885-0309 Location: (714)701-3105 Miraloma Ave.from Van Buren St.to fax(714)777-8304 1 Las Brisas,Van Buren St.from Miraloma Ave.to Sierra Vista Ave. Placentia CITY OF LAGUNA BEACH 223 Urban Runoff Diversions $1,019,323 April 2007 Fred Shahidi Water Quality Department Location: 505 Forest Avenue 1 5 various locations in Laguna Beach,CA 92651 Laguna Beach (949)497-0345 49 fax(949) 4-1864 CITY OF CHINO HILLS 218 "New"Chino Hills Community Park $3,013,132 Feb.2007 Douglas E.Barnhart,Inc.(Construction Mgr.) &Eucalyptus Avenue Extension Charles Brown -Bid Pkg.#2 Site Utilities 2001 Grand Avenue Location: Chino Hills,CA 91709 Eucalyptus Ave.&Peyton Dr. (909)364-2856 Chino Hills fax(909)364-2695 CITY OF LAGUNA BEACH 221 Canyon Acres Drive Storm Drain $2,745,588 Jan.2007 Steve May 505 Forest Avenue I Location: I I Laguna Beach,CA 92651 Canyon Acres Dr.&Laguna I—.on Road (949)497-3311 Laguna Beach fax(949)497-0771 CITY OF ORANGE 216 Orange-Olive Road&Heim Avenue $ 679,145.00 Nov.2006 Randy Nguyen,P.E. Street,Sewer,and Storm Drain 300 E.Chapman Avenue Improvements Orange,CA 92866 Location: (7_1 4)744-5531 Orange-Olive Rd.&Heim Ave. fax 714 744-5573 Orange IRVINE UNIFIED SCHOOL DISTRICT 222 Woodbury Elementary School $892,244 Dec.2006 Lloyd Linton 14600 Sand Canyon Avenue Location: Irvine,CA 92618 Revival&Great Lawn,Irvine (949)936-5305 C.W.Driver (Construction Mgr.) Jason Tarulli (949)261-5100,fax(949)261-5167 CITY OF HAWAIIAN GARDENS 212 226th Street Extension and Storm Drain $1,41073 Sept.2006 Jacki Niemi 21815 Pioneer Blvd. I Location: Hawaiian Gardens,CA 90716 226th Street Extension from Arline Ave-to (562)420-2641 Devlin Ave./226th St.Storm Drain from fax(562)496-3708 Arlin Ave.to Artesia-Norwalk Channel Hawaiian Gardens DEPARTMENT OF TRANSPORTATION- 202 Ramp Widening at Red Hill Avenue $987,980 July 2006 CALTRANS I I Off-Ramp,Tustin Jose Barrios-Caltrans Resident Engineer 3251-1/4 University Drive Location: Irvine,CA 92612 Red Hill Ave.NB Off-Ramp @ (949)509-50123 5 Freeway,Tustin fax(949)509-5027 CITY OF NEWPOR A_T BEACH 181 Mariners,China Cove and 62nd Street $1,713,296 Dec.2005 _ Mike Sinacori I Wastewater Pump Station Rehabilitation 3300 Newport Boulevard Including Fernleaf Avenue Street Improvements Newport Beach,CA 92663 Contract No.3585 (949)644-3311 Location: fax(949)644-3318 China Cove&Fernleaf 62nd St.,Newport Beach IRVINE UNIFIED SCHOOL DISTRICT 191 Turtle Ridge K-8(Vista Verde)School $888,382 Sept.2005 Lloyd Linton 14600 Sand Canyon Avenue Location: Irvine,CA 92618 4 Federation Way,Irvine (949)936-5305 C.W.Driver (Construction Mgr.) Mark Kenney(949)261-5100,fax(949)261-5167 I CONSTRUCTION,INC. General Engineering Contractor Lic. No. 755356 Statement of Qualifications: GCI Construction has been contracting for over 34 years as an A license, General Engineering Contractor, previously dba as Gillespie Construction prior to 1998. The company has performed many public works and private grading projects and emergency utilities (including sewer, water and storm drain) and street improvements projects for public works agencies and including Waste Management projects currently in progress. GCI is a well experienced utilities contractor that has gained specialized experience in deep excavation for sewer and storm drain projects as well as grading, excavation and export/import. Also dealing with dewatering, grouted rip-rap, shoring, soil cement (County of Orange and various cities), sewer/water bypass, tide vaults, slope repairs, HDPE fusion welded projects as well as hard to handle materials including hazmat expediting. Various welded water line (cml) repairs by contract and emergency services. Some of the many on call customers are Cities of Newport Beach, Costa Mesa Sanitary District, City of Laguna Beach, San Clemente and several water districts including Irvine Ranch Water District and South Coast Water District. Emergency projects include: Emergency force main sewer, water and storm drain pump station, repair. And many storm drain slope repairs. While many of the public works projects are routine in nature regarding installing utilities, including concrete improvements, grading and paving, some of the unique and challenging projects performed for Waste Management are and ongoing: Install HDPE fusion pipe and emergency water line repairs for landfill operations; onsite grading including slope repair; estimating for material quantities; onsite and off-site import material and knockdown and currently... receive and knockdown greenwaste/mulch at the top deck at the Bradley Landfill, Sun Valley. GCI has demonstrated that we are well qualified to man-up, mobilize and set up traffic control to tackle any infrastructure utility emergency in stat time that may arise. We have an on hand equipment inventory of excavators, backhoes, dump trucks, shoring, pumps etc., including the manpower and resources to expedite as directed. References attached. 1031 CALLE RECODO, SUITE D, SAN CLEMENTE, CALIFORNIA 92673 (714) 957-0233 FAX (714) 540-1148 CONSTRUCTION,INC. General Engineering Contractor Lic. No. 755356 Organizational Information: The team with a combined background of management, leadership, operational, and fiscal experience has perpetuated the success of GCI Construction for over 34 years. Our key personnel are: Terry Gillespie, President; Chuck Gillespie, Vice President; Richard Tirrell, Estimater/Project Management and Janet Gillespie, Corporate Secretary/Project Manager Assistant/Contract Administrator. Terry Gillespie as President is active in day-to-day field operations, business development, and project management as well as estimating. Terry has a professional relationship with over 30 years' experience with the City of Newport Beach and will be the liaison for current and future work with the city. Richard Tirrell retired Vice President shares duties in the day-to-day field operations, estimating as well as equipment procurement/maintenance and is the Safety Officer for the company. Both Terry and Richard take an active role in focusing on schedule adherence, cost and quality control in the field operations. Chuck Gillespie as Vice President current also shares and is active in day-to-day field operations, business development, and project management as well as estimating. Chuck has over 25 years of experience in the industry. Janet Gillespie as Corporate Secretary/Project Manager Assistant/Contract Administration is responsible for bid submission, contracts, insurance, submittal process, ordering of materials, subcontracts, coordinating scheduling with the subcontractors and suppliers, and any day to day operations assisting on all projects for over 18 years with the company. The team has the competency and experience to do each other's job necessary in developing, supervising, and completing on time quality and professional work in the specific field of general engineering. GCI is a prime contractor and will subcontract to specialty licensed contractors as needed for any special work required outside of our expertise. Some of the specialties include; electrical, hazmat abatement, larger paving requirements, masonry etc. 1031 Calle Recodo Ste. D, San Clemente CA 92673 (714) 957-0233 FAX (714) 540-1148 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax(714) 374-1573 ADDENDUM NUMBER ONE For 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS, ALLSTONE DRIVE AND GRAHAM STREET, CC NO. 1389 November 3,2016 Notice to All Bidders: 1. The bid due date and time shall remain unchanged. Bids are due on November 15, 2016, at 10:00 AM. Bids shall be delivered to the City Clerk's Office. The Bid Opening will be held in the City Council Chambers at 10:00 AM on Tuesday November 15,2016. 2. The project geotechnical investigation was inadvertently omitted from the project specifications. The Geotechnical Investigation Report, City of Huntington Beach Watermain Extension Allstone Drive& Graham Street Huntington Beach, California, by Twining Inc., dated October 28, 2015 is here by incorporated in the project specifications as APPENDIX K. Page vii, the table of contents for the Appendices has been amended as shown herein. 1 of 1 I I c5ure_y.�ond c5.ncel904 International Fidelity One Newark Center Newark,New Jersey 07102 INSURANCE COMPANY (973)624-7200 KNOW ALL MEN BY THESE PRESENTS: That we, the undersigned, GCI CONSTRUCTION, INC. as Principal, and THE INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation of the State of New Jersey, as Surety, are hereby held and firmly bound unto CITY OF HUNTINGTON BEACH in the penal sum of TEN PERCENT OF THE AMT. BID ($ 10% OF BID ) for the payment of which, well and truly to be made,we hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns. Signed, this 8th day OfNOVEMBER , 2016 The condition of the above obligation is such that whereas the Principal has submitted to a certain bid, attached hereto and hereby made a part hereof, to enter into a contract in writing for CC NO. 1389 8—INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET NOW, THEREFORE, (a) If said bid shall be rejected, or in the alternate (b) If said bid shall be accepted and the Principal shall execute and deliver a contract in the form of contract attached hereto, properly completed in accordance with said bid, and shall furnish a bond for the faithful performance of said Contract, and for the payment of the persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the agreement created by the acceptance of said bid; THEN,THIS OBLIGATION SHALL BE VOID, otherwise the same shall remain in force and effect; it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event, exceed the penal amount of this obligation as herein stated. The Surety, for value received, hereby stipulates and agrees that the obligation of said Surety and its bond shall be in no way impaired or affected by any extension of time within which the said bid may be accepted; and said Surety does hereby waive notice of any such extension. IN WITNESS WHEREOF,the Principal and the Surety have hereto set their hands and seals, and such of them as are corporations have caused their corporate seals, to be hereto affixed and these presents to be signed by their proper officers, the day and year first set forth above. Signed, sealed and delivered in the presence of: GCI CO S UCT I ATTEST: � Princi 1 'C y r>.&f(lens � ATTEST: INTERNATI NAL FIDELI INSURANCE CO. By: I Bid Bond Date NOVEMBER 8, 2016 HAEL D. ON Atto ney-In-Fact CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange ) On G1T�1'lf l Y( I�'. X1(;' before me, Janet Gillespie - Notary Public Date Here Insert Name and Title of the Officer personally appeared Terry D. Gillespie Name*of Signero, who proved to me on the basis of satisfactory evidence to be the person(s)-whose name(sy is/are subscribed to the within instrument and acknowledged to me that he/she/they-executed the same in his/_her/theff authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(SI, or the entity upon behalf of which the personjsracted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JANET GILLESPIE WITNESS my hand and official seal. Commission #2049968 z ;i'm el; Notary Public California z a i Z Orange County Signature ` '( My Comm.Expires Dec 21,2017 Signature of Notary ublic Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑Partner — ❑ Limited ❑General ❑ Partner — ❑Limited ❑General ❑Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: ------------ ©2014 National Notary Association -www.NationaiNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document. State of California ) County of Riverside ) On ��� ' before me, R. Nappi "Notary Public" Date Here Insert Name and Title of the Officer personally appeared MICHAEL D. STONG Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(a) whose name(o is/are subscribed to the within instrument and acknowledged to me that he/sKe/they executed the same in his/hoer/their authorized capacity(ios), and that by his/her/their signature( on the instrument the person(g), or the entity upon behalf of which the person(s) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph . is true and correct. COMM.t1 2152652 y R ti 1 WITNESS hand and official seal. � m _. NOTARY PUBLIC-CALIFORNIA z - �e RIVERSIDE COUNTY 1 My Comm.Exp.Jure 7,2020 ' Signature Sig t re of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑Limited ❑General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association• www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 Tel(973)sz�-7200 POWER OF ATTORNEY INTERNATIONAL FIDELITY INSURANCE COMPANY ALLEGHENY CASUALTY COMPANY ONE NEWARK CENTER;20TH FLOOR'NEWARK, NEW JERSEY 07102-, 1 KNOW ALL MEN BY THESE PRESENTS: That IN FIDELITY INSURANCE COMPANY;a corporation organized.. and existing under the laws of the State of New Jersey,;and ALLEGHENY CASUALTY COMPANY a corporation organized and existing under the laws of the State of Pennnysylvania,having their principal office in the City of Newark;New,Jersey,do;hereby constitute and,appoint MICHAEL D. STONG, JEREMY PENDERGAST Riverside,:CA. their true and lawful attomey(s)-in-fact to execute,seal and deliver for and on its behalf as surety,any and all bonds and undertakings,contracts of indemnity: and'other.Writings obligatory in-the nature thereof, which are or may allowed,required or.Permitted by law;statute,rule,regulation,contract or otherwise, and the execution of such instrument(s) in ppursuance,of these presents,shall be as binding upon the said INTERNATIONAL FIDELITY INSURANCE 'COMPANY and ALLEGHENY CASUALTY COMPANY, as fully and amply, to all intents and purposes,as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed,and,may be revoked, pursuant to and by authority of the Byy-Laws of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY and.is granted under and by author of the fotlowing resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY>at a meeting dul�yy held on the 20th day of July,2010 and by the Board of Directors of ALLEGHENY CASUALTY.COMPANY at a meeting duly held on the 15th day of August,2000: "'RESOLVED that (1)the President, Vice President, or Secretary of the Corporation shall have the power to appoint,and to revoke the appointments of, Attorneys-in-Fact or agents with power and authority as defined or limded in their respective powers of attorney,and to execute on behalf of the Corporation and affix the Corporation's seal thereto,bonds,undertakings, recognizances, contracts of indemnityand other written'obligations in the nature thereof or related thereto; and an such Officers of the'Corporation may,appoint and revoke the appointmen of joint-control:custodians,agents.for acceptance:of process,and Attorneys-m-fact with authority to execute waivers and consents on behalf of the Corporation;and.((3)the;signature of any,such Officer of the Corporation and the Corporation's seal<maybe affixed by facsimile.-to any power of attorney or certification given or the execution of any bond,undertaking,' recognizance contract of indemnity or other written obligation in the nature thereof or related thereto,such signature and seals when.so used whether heretofore.or kereafter, being'hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation,to be valid and binding upon the Corporation with the same force and effect as though;manually affixed." IN WITNESS WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY'and ALLEGHENY CASUALTY .COMPANY have each executed and attested these presents on this:12th day of March;2012. T r)'o, STATE OF NEW JERSEY N - �/ County of Essex 11 SEAL w ' . 19G4 4 1936 .� JE c� ROBERT W.MINSTER Executive Vice President/Chief Operating Officer # ' "'r1SYL�t� (International Fidelity Insurance'Company) and President(Allegheny:Casualty Company) On this 12th day of March 2012, before.me came the individual who executed the preceding instrument,to me personally known,and, being by.me duly sworn, said he is the therein described and authorized officer of ,INTERNATIONAL FIDELITY INSURANCE COMPANY and:ALLEGHENY CASUALTY COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies;that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. „ IN TESTIMONY WHEREOF, I have hereunto set m hand affixed my.Official Seal; at the City of Newark,New Jersey the day and year first above written. vJ ��ri�i TA `y eta` A NOTARY PUBLIC OF NEW JERSEY My,Commission Expires Mar.27,2014 CERTIFICATION I,the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit;;and the copy of the Sections of the By-Laws of said Companies as set forth:in said Power of Attorney, with.the originals on:file in the home office of:'said companies, and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand this g t '.day of NQ V e_rnbe MARIA BRANCO,Assistant Secretary City of Huntington Beach 200o Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk 17,1969 Robin Estanislau, City Clerk January 17, 2017 Gentry General Engineering, Inc. 9277 Archibald Ave. Rancho Cucamonga, CA 91730 RE: Water Main Extension Project—CC-1389 Enclosed please find your original bid bond for CC-1389. Sincerely, 7� Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand CID CP p ate- SECTION C PROPOSAL for the construction of CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefore, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. p �� Acc mpanying this proposal of bid, find �1 li C 1U 1� 1,04- in the amount of .-700 which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date.Reeeived `Bidder's.Si nature,;% I - 2-oI�% ^ �- C-2 SECTION C PROJECT BID SCHEDULE A PROJECT NAME, CC 1389 8-INCH WATER MAIN EXTENSION ON STATE LANDS BID ITEMS '• sE s at 3 n`tl€(I t� ¢ ° 'IE E ¢ '. E �€ � Item ` Descr�ptIg!ioniE Qantiiy `IJwt Umt Cost " Total Cosh 3 E 1 Mobilization 1 LS $�� �bC- $ 2 Demobilization and Clean-Up 1 LS $ $ 3 Erosion Control BMPs,WPCP and SWPPP 1 LS $j` ( D - $ 4 8" DR 18 AWWA C900 PVC Pipe 1300 LF $ gQ— $ 5 Demolish and Remove existing Blow Off Assembly 4 EA $ $ Q - 6 Disinfection and Pipeline Testing 1 LS $f ( Z $ ( - 7 8"Cut in Valve Assembly 3 EA $ /0 600 $ 8 Remove and Replace Existing Asphalt Paving Times 60 LF Trench Width $ 5 $ ox 9 Top Soil Salvage, Replacement, and Conditioning 1 LS $ $ J — TOTAL BID AMOUNT (BASIS OF AWARD) -SCHEDULE A $ TOTAL BID AMOUNT IN WORDS: Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR ' Dollar %of Item(s) Subcontractor License Number Amount Co Tact Number V z By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed oncl�--1(01 at 0 Lumbo , Ch Date City J State being first duly sworn, deposes and says that he or she is Q -� of GU ed� J i 1 f J1, Tt`e'party making the foregoing bid that the bid is not made in the i terest of, or A the hel4alf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. �e'a�)o (I 11 f 6,11 Name of Bidder Signature of Bidder Address of Bidder C-4 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Bernardino ) On November 14, 2016 before me, Andrea Scarbough (insert name and title of the officer) personally appeared Brenton Gentry who proved to me on the basis of satisfactory evidence to be the person(s3 whose name(s�ism subscribed to the within instrument and acknowledged to me that he/sue/*ey executed the same in hisL46 their authorized capacity(*), and that by his/het/their signature( on the instrument the person(,g), or the entity upon behalf of which the person(;w) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. 2- -16 ANOREA SCARBROUGH Nab"Puma•Caiuornis WITNESS my hand and official seal. 6 di?Couf s Comm. fN Z>' 2020 r Signature (Seal) UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The tern "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. (4-n (tae"VAI i _W)C Contractor N"k, -�A ,'%Mhl� By & Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes > No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Contract r By Title Date: 11-H A C-7 - t BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: 1- n e�l t-�4 " Mee W1 QV 4-4)L Bidder Name AM kchtOAA siness Address CIgo t i �v 1�3� City, State Zip Tele hone Number E l Address State Contractor's License No. and Class (Q12-U ( ) 2 Original D to Issued ( 6,301 Ia' Expiration Date The work site was inspected by O'e(- F(%d of our office on 0C-- Qbe-( 2(P , 201(o. The following are persons, firms, and corporations having a principal interest in this proposal: &u4 (xwe-c The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the pla s and specifications set forth. t-,itf na -itjo Compan Name T Si nature of Bidder (eft 'e n Printed or Typed Signatuile Subscribed and sworn to before me this Il day of 064(?t-1 ieC , 201 (j�'. NOTARY PUBLIC h(,t kG1(Vo3UC h NOTARY SEAL C-8 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Bernardino ) On November 14, 2016 before me, Andrea Scarbough (insert name and title of the officer) personally appeared Brenton Gentry who proved to me on the basis of satisfactory evidence to be the person($) whose name*) is/W subscribed to the within instrument and acknowledged to me that he/s�egj�py executed the same in his/hi1/tbeir authorized capacity(ies), and that by his/l&*Ntir signature(0) on the instrument the person(;), or the entity upon behalf of which the person) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. • ANOREA 6CARBR000H Nobly Pok•Cwo►Mo WITNESS my hand and official seal. ganear4 "co" Co1M1MM M 2144293 My Comm.E NS h0 22,2020 Signature (Seal) Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. �.�•� �, G-( LkV1—i- cl� 1,160 EtA �. �JC SIPlaK 7 �6 Naive and Address of Public Agency Name and Telephone No. of Project Manager: TC rtr-y 6 Ch AV,1e- H c��„ 3 7E :0 7 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: -fie i.0 C. �Q�J :..r'S -C-� v' 'v.,..�tv" �ii�r�b� it':�. 'F.ft� •� iSC, -c: B: 2. SjtYVH GA— 6, aJN [:�."��f0 r/� t-e�eE� LJw,-4.3 1q;'SLl Name and Address of Public Agency P`,sF�._+- Name and Telephone No. of Project Manager. .j i, k, K -7 CC' - zao 7/ -// Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Name and Address of Public Agency Name and Telephone No. of Project Manager: �4 V-A « l' f GYP -c.-. (b C 'z i 6-q f, a tom ;tv i�z-! 20 f Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects ,for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. 6ti,W ('--ol bV Name of proposed Project Manager Telephone No. of proposed Project Manager: 2 "� Proj ct Name & Contract Amount Typle of W rk Date Completed Serra d yca �►�� Cep l#�r s-Do.00 0 1 aJ 20 Project Name & Contract Arnount Type o Work Date Completed 0-t),eC+ (Y-tOUVIA -$ 1 .S-01 000 P ject Name & Lontract Amount Type of Work Date Com leted 2. 6bN Name of proposed S perintendent ggTelephone No. of proposed Superintendent: (ULU� �'�UZ- 2,33� Project Name & Contract Am unt Type of Wbrk Date Completed Project Name & Contract Amount Type o Work Date Completed - 1t\j a� isle��ors - eY���� Project Name & Contra t Amount Type of Work Date Comple ed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCRJActionServlet?action=displayPWCRegistratioiiForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCRJSearch.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. ter I Contract r JV__ _/__ �f Rjz n By- Date:Date: ��'�� -( �P DIR 4: bbOU 2�-( thy C-1 1 Bid Bond Bid Bond Number:CSBA-3502 CONTRACTOR: SURETY: (Name, legal status and address) (Name,legal status and prinaipal place of business) Gentry General Engineering,Inc. Indemnity Company of California 9277 Archibald Avenue 500 S.Kraemer Blvd.,Suite 300 Rancho Cucamonga,CA 91730 Brea,CA 92821 OWNER: This document has important legal (Name, legal status and address) consequences.Consultation with City of Huntington Beach An attorney is encouraged with respect 2000 Main Street its completion or modification. Huntington Beach,CA 92648 Any singular reference to Contractor,Surety,Owner or other party shall be considered Plural where applicable. BOND AMOUNT: :Ten Percent(10%) of Amount Bid PROJECT:CC No. 1389-8-Inch Water Nlain Extension Project on State Lands,Allstone Drive and Graham Street Project Number,if any: The Contractor and Surety are bound to the Cleaner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators, successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof-,or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60) days. If this Bond is issued in connection with a subcontractors bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 9th day of November,2016 entry General En eering,Inc. (Principal) (Seal) � l (fife ss) (Title) Indemnity Company f California (Surety) (Seal) (fitness) (Title)nwight Reilly,Attorney-in-Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers (NASBP) (www.nasbp.orR) makes this form document available to its members, affiliates, and associates in Microsoft Word format for use in the regular course of surety business. NASBP vouches that c the original text of this document conforms exactly to the text in AIA Document A310-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users,so careful review of its wording and consultation with an attorney are encouraged before its completion, execution or acceptance. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness, accuracy,or validity of that document. State of California County of Orange On 11/09/2016 before me, Karen L. Ritto Notary Public personally appeared Dwight Reilly who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the state of California that the foregoing paragraph is KAREN L.RITTO 1( true and correct. COMM.#2138527 n Notary Public-California W1 d and Official seal. amy ORANGE COUNTY LL Comm.Expires Dec 30,2019 Signature of Notary OPTIONAL Though the data below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL Bid Bond ❑ CORPORATE OFFICER Title or Type of Document One ❑ PARTNER(S) Number of Pages ❑ MEMBER of LLC ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) 11/09/2016 ❑ GUARDIAN/CONSERVATOR Date of Document OTHER: SIGNER IS REPRESENTING: Signer(s) other than named above NAME OF PERSON(S) OR ENTITY(IES) POWER OF ATTORNEY FOR Bond No. CSBA-3502 DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725,IRVINE,CA 92623 (949)263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited,DEVELOPERS SURETYAND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each hereby make,constitute and appoint: "'Andrew Waterbury,Shaunna Burchffel, Michael Castaneda, Dwight Reilly, Daniel Huckabay,Arturo Ayala,jointly or severally— as their true and lawful Attorney(s)-in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings and contracts of suretyship giving and granting unto said Attomey(s)-in-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and all of the acts of said Attorneys)-in-Fact,pursuant to these presents,are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January 1st,2008. RESOLVED,that a combination of any two of the Chairman of the Board,the President,Executive Vice-President,Senior Vice-President or any Vice President of the corporations be,and that each of them hereby is,authorized to execute this Power of Attorney,qualifying the attorney(s)named in the Power of Attorney to execute,on behalf of the corporations,bonds,undertakings and contracts of suretyship;and that the Secretary or any Assistant Secretary of either of the corporations be,and each of them hereby is,authorized to attest the execution of any such Power of Attorney; RESOLVED,FURTHER,that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond,undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF,DEVELOPERS SURETYAND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers and attested by their respective Secretary cr Assistant Secretary this January 29,2015. `l / AN By: l.� pZt (.....AND �,� Daniel Young,Senior Vice-President `:'C JQ'.G�RPO/���F?�y Al G�Qp POq�� 'Go w OCT. ; z =� OCT.5 ' a 10 c� O By: o'=: 1 936 0 ff = u r 1967 Mark Lansdon,Vice-President *ya,' cq���O���P 3� A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness,accuracy,or validity of that document. State of California County of Orange On January 29,2015 before me, Lucille Raymond Notary Public Date Here Insert Name and Title of the Officer personally appeared Daniel Young and Mark Lansdon Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons)whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of _ LUCILLE RAYMONO which the person(s)acted,executed the instrument. Commission #2081945 z . Notary Public-California a I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is Orange County D true and correct. My Comm.Expires Oct 13,2018 WITNESS my hand and official seal "q- Place Notary Seal Above Signature Lucillyayilhond,Notary Public CERTIFICATE The undersigned,as Secretary crAssistant Secretary of DEVELOPERS SURETYAND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA,does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and,furthermore,that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney are in force as of the date of this Certificate. This Certificate is executed in the City of Irvine,California,this 9th day of November 2016 Cassie i 61innsford,Assistant Se tary ID-1380(Rev.01/15) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Bernardino ) On November 14, 2016 before me, Andrea Scarbough (insert name and title of the officer) personally appeared Brenton Gentry who proved to me on the basis of satisfactory evidence to be the person(4) whose name(,Z) is/aye subscribed to the within instrument and acknowledged to me that he/sTe/may executed the same in his/hef/to,eir authorized capacityJieg), and that by his/�t/Vietr signatures) on the instrument the person(), or the entity upon behalf of which the person(z) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ANOREA SCARBROUGH Nowy Pump•Camows WITNESS my hand and official seal. San"armnoComw ComftuWn N 2144M IA Comm.E&Wes Feb 27 2020 Signature ' X--(Seal) City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk !7,1969, Robin Estanislau, City Clerk January 17, 2017 HYM Engineering, Inc. 6380 Roland St. Buena Park, CA 90621 RE: Water Main Extension Project— CC-1389 Enclosed please find your original bid bond for CC-1389. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand i,�s ]rt�a akr f: f S 5'y"5tz'dxy txrx 'a Sr _; y t rCT u;zip - -c."AF ,a�G y s*`r•S i ',k�'>; F` � 1 1 Yh q di Y3 }r .2y "ytr r �6 .y % �cy+ . ,5i } na" #,t „ ny+mFs`3 !c1' �' g>�iY�`ht iB 'Etis' f2 - t.,!„yr �t �, - M�{" � {k V/. ait`�5^t*iMH S3>d" 'Wfi�5 ,�•+'.a- k� r4^"+a T�{#'six �� ' jrra{s �itw fFr"r t r✓$I }��r f - � �� t t . k 1 R#s.'}..,ki x' •,,".ttl.�""4",r F� tx,;+ r #� � .t`-,k, �"tX t- k VJ roe 'M`S ����,�°���" �`�� K' E� g�,,�,• � wgs t �C *aana},a s �� t"�T .bwp ��,�+1 P .�t'� 't ntl yv y rg�,,a ' `. a. •" - 9is >~ 3rVJ+', r mwlg 1F5M 'ta;;, ,� �'# � r l "�a" r 'f'' ,. x �' a +.�� x fa'� 'f'r� �' kr.v r "'" JC� d 4Oa G � >- xSsdia �' x at k ti rs 'rt ' Fu 1� 3ti- t' `w r Ya drr �} € aaa �{ 1 + } 4w( +; �'dk3:rJ�. 7•k�` re t c,rA 4 t. `�"3y "1f.fh ' q'2�¢ 17r "� fx r r>•c }Yi1''<'^},�' } it xs,`�"-'rZrZ am'3; e °�L� "�,re `a vtk�`F Via,.""=. t { yu Fill %, WNW! � fy 11 t "�d s i E a .�Y'w`'� �"i��l�+��rr �� § &T,d'✓! sir �x#ra,4 �'�s§�'��"$r pa��°t }z"#.# { �`�$ r r �c rK, ( }i fi+.+S"' ,��n .niar*A�$,.$� r @ '• �+� 4 fr e� F� ,tx tr. a. ^v"'.� ��'3' '�`cCE�`4I �•�3 �'�,. ,,�,� � �. ��'' 'tad z ���� s 4 a i- v N€s }�`'��, (. rf�xu*, et 'x% §sT is ra' Fey aan x ;2 IMc;tt fill ; '" "$ s h''4� y tY.t 3 P 'a' � x � ��s. �{ rT F,. t, �` X s �{s �' `a k3���'Ft s,.t�� ����" t a�a�g ���. ""d`wW-rn=?� ��3 ,�i%'i� Spy 'ci£5 v14 kw F VI a' "4 � >•9�yyy���y. ��� �to r"� � ,�" � r� l�Casi„, a s d�€ '' k3 a�`"$ y " r -ac< "+✓ �"ai,'d [3s ,.y r y *, t S >4 .. a tE! � '� �� - ><� I Z �x c—I 7":-,.➢,$X'h'&'&r. 4'{ § �iz" xt s€ "W.k Z x f xi M is N *' lD .,.r.M, +' _ +, ''�S_ ''�` r`r '#'e�`' kart✓`� �,c= � - Y r F tic r r h- Y� X ,�u>#�^� �,�' 3t "s d 4 trY v* .7" t r#4, 7-r'f W •s� (:.ss� -. ' ir�u L xY yt1`s?t �`- �Ft �-�'a-� 'r,'{`.�'� a �r+,w���. �r r' ,� r� � f 7 �s '� �,�°+'• `K h -�` - " SECTION C PROPOSAL for the construction of CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefore, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find ic�c�er'S �o�� in the amount of J/ 3 4 which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond foi- % ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature '40 C-2 SECTION C PROJECT BID SCHEDULE A PROJECT NAME, CCD389 8-DNCB8 WATER MAIN EXTENSION ON STATE LANDS BID ITEMS 5 Demolish and Remove existing Blow Off Assembly 4 EA $ / do $ 8 Remove and Replace Existing Asphalt Paving Times 60 LF 9 Top Soil Salvage, Replacement, and Conditioning 1 LS $ 15a'V TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE A $ TOTAL BID AMOUNT |NWORDS: Note: Refer to Section S. Measure and Payment for description of each |1ern on Bid Schedule. All extensions of unit prices will be subject to verification byOwner. |n case verification isrequired between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any orall proposals and bid items. . . . . . LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on P11 "Jlt , at BUepcti P,44:: ('A Date City State being first duly sworn, deposes and says that(& or she is pre i`de'/f't- of N I'm � ' - : .7.1,c . the party making the st foregoing bid that the bid is not made in the intere of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder Signature of Bidder Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor By Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. �.;,c . Contractor By Title Date: 041 l.� C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name 6 3R-p Pcakwk(I Business Address Ci-t7y,�( -7 State ) Zip ( !�"f" ) �a3'-23 r)'C__. &j( j�`1� Y��%NPY `�t1 ti ✓�`f, f�-Wl Telephone Number Email Address `-I ( �) �(-� A, State Contractor's License No. and Class PLc//„>-o ty Original Date Issuedd� f 31 Z-10/ / Expiration Date The work site was inspected by re,kaw, ear) of our office on L , 201 . The following are persons, firms, and corporations having a principal interest in this proposal: The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Company Name Signature of Bidder yeky'l Printed or Typed Signature Subscribed and sworn to before me this I day of r4 o V , 201 . NOTARY PUBLIC NOTARY SEAL C-8 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of_ Orange ) On Nov. 14, 2016 before me, Hison Kim, a Public Notary (insert name and title of the officer) personally appeared Abraham J. Jeon who proved to me on the basis of satisfactory evidence to be the personv whose name(;e)&are subscribed to the within instrument and acknowledged to me that Ee she/they executed the same in is her/their authorized capacity(ies), and that by&her/their signature( on the instrument the person($), or the entity upon behalf of which the pers on($) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. HiSONKIM Commission#t 2119922 a Notary Public-California Orange County MY Comm.Expires Jul 10,2019 Signature (Seal) Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. O�x o� Arkcin., Zoo 5. Ars6m Givd. zkyjmm, c Name and Address of Public Agency Name and Telephone No. of Project Manager: c7csel (Otter 3C401 000 C,-ay W Ac WJeV �k, (,)Acvv& Jules 26(( Contract Amount Type of Work Date Completed Provide additional project description to show similar work: _ 14& ie 4AAJ �:�ew��1�, (31a1kw,:gl ew 2. C I i P a oo, Name and Address of Public Agency Name and Telephone No. of Project Manager: ��;� Contract Amount Type of Work Date Completed Provide additional project description to show similar work: CA 3. GAY yk aSG VX 0 n S`� 17nNn'�� AUc— us Nam6 and Address of Public Agency Name and Telephone No. of Project Manager: � h�.ri C-� � c�0 j 4T2-o11772 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: s � '36"' 2 6V( A( �orr� �- C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. Name of proposed Project Manager Telephone No. of proposed Project Manager: l�rzU(d`e VC o GU /Ic(!C, k L<; � © ��1t�6�yc� C� f Project Name & Contract Amount Type of Work Date Completed ,ozZ) TyUOUR Ow WY04- 01�LIL�-Seyv�� J:A Ve zedo Project Name & Contract Amount Type of Work Date Completed rQr�o �VLM"� I �,� I d � �51D►"" rah �,, ",c;� 241 Z Project Name & Contract Amount Type of Work Date Completed 2. reAYIC10111 r A Name of proposed Superintendent Telephone No. of proposed Superintendent: ILcPN �'i ` &� c l'av� ,��r� TV5-k& Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed ic"N Zvl b OvOvo (�W T,gomfe " � 4-20,6/y 6,,cy tt-iP,, 'J, Matt" Fir l 2d i Project Name & Contract Amount Type of Work Date Completed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionS ervlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Contractor By Title Date: // ���� �� DIR#: k-z3 Z C-11 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax(714) 374-1573 ADDENDUM NUMBER ONE For 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS, ALLSTONE DRIVE AND GRAHAM STREET, CC NO. 1389 November 3,2016 Notice to All Bidders: 1. The bid due date and time shall remain unchanged. Bids are due on November 15, 2016, at 10:00 AM. Bids shall be delivered to the City Clerk's Office. The Bid Opening will be held in the City Council Chambers at 10:00 AM on Tuesday November 15,2016. 2. The project geotechnical investigation was inadvertently omitted from the project specifications. The Geotechnical Investigation Report, City of Huntington Beach Watermain Extension AlIstone Drive & Graham Street Huntington Beach, California, by Twining Inc., dated October 28, 2015 is here by incorporated in the project specifications as APPENDIX K. Page vii, the table of contents for the Appendices has been amended as shown herein. 1 of 1 INTERNATIONAL FIDELITY INSURANCE COMPANY BID BOND KNOW ALL MEN BY THESE PRESENTS, That we,HYM Engineering„ Inc. as Principal,and International Fidelity Insurance Company a corporation authorized to transact a general surety business in the State of California as Surety, are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee) in the full and just sum of TEN PERCENT OF THE TOTAL AMOUNT BID (100/.) for the payment whereof in lawful money of the United States, we bind ourselves, our heirs, administrators, executors, successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the said PRINCIPAL has submitted the accompanying bid for CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE &GRAHAM STREET NOW,THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, or in the event of the failure of the Principal to enter such Contract, If the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in the said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void,otherwise to remain in full force and effect. Signed and Sealed this 1 lth day of November,2016 . HYM Engineering, Inc. International Fidelitv Insurance Company Surety By: Principal ITiam Syrkin.,Attorney-in-Fact 7ei(973)6e4-720o PQINER OF ATTORNEY INTERNATIONAL FIDELITY INSURANCE`COMPANY ALLEGHENY CASUALTY COMPANY ONE NEWARK CENTER,:,20TH F1.LOOR NEW 1. ARK, NEW JERSEY 0I.7102-5207 KNOW ALL MEN BY. THESE PRESENTS: That INTERNATIONAL FIDELITY INSURANCE COMPANY.,:. ,a corporationII. organized andi existing'unII der `.'the laws of the State of New Jersey, and'ALLEGHENY CASUALTY COMPANY a`corporation organized and existing Under the laws of the State of New Jersey,having their principal office in the City of Newark,New Jersey,do hereby:constitute and appoint RI.EBECCA HAAS-BI. ATES,>RICHARD AD AI. IR, OWEN M. BROWN, 1NILLIAM SYRKIN Irvine, CA. their true and lawful attorney(s)-in-fact to execute,seal and deliver for and on its behalf as surety;any andall bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof, which are or may be.allowed,required orper6tted by Law,statute,rule,regulation,contract or otherwise, II II and the execution of such instrument(s) in�pursuance of these presents,shall be as binding upon the said INTERNATIONAL FIDELITY INSURANCE . COMPANY and ALLEGHENY.CASUALTY.COMPANY, as fully:and amply;;to all intents and purposes,as if;the same had :been duly executed and acknowledged by their regularly elected:officers at(heir principal offices. This Power of Attorneyy�is executed,and mayy be irevoked,,'pursuant to and by authority of he. B� Laws of.INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY:COMPANY and is granted under and by authori of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting du held on the 20th day of July,2010 and.by the Board of.Dlrectors of ALLEGHENY CASUALTY COMPANY at a meeting dulyheld on.the 15th day of,4ugust,ZOgO: 'RESOLVED,that (1)the`President,Vice President, Chief Executive`Officer or Secretary of the Corporation.shall have the power to appoint,and to revoke the appointments of,Attorneys-in-Fact,or agents with powerand authority.as defined oe limited in their respective:powers of attorney,and to execute:on behalf of the Corporation and affix the Corporation's seal thereto,bonds;undertakings, recognizances, contracts .of'indemnity and-other written obligations in:the nature,thereof or related thereto; and`(2)any such;Officers:of the Corporation may appoint and revoke the appointments,of.joint-control:custodians, agents for acceptance of process,and AttorneysAn-fact with authority to execute waivers and consents on behalf of the Corporation;and (3) the signature of any: such Officer of the Corporation and the Corporation's seal may be;affixed by facsimile,to any power of attorney:or certification given ffor the:execution of any; band;undertaking,recognizance; contract of indemnity or other written obligation in.the nature;thereof:or related thereto,such signature':and seals when.: 1. so used whether heretofore or.hereafter; being.hereby adopted by:the Corporation as the original signature of such officer and the original seal of the Corporation,to:be valid and binding upon.the Corporation with he same force,and effect1.as though manually affixed." IN WITNESS WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY'CASUALTY COMPANY. have each executII ed and attested these presents on this 3.1st day ofDecember 2015:; ' 11. I. \> �� >4 STATE OF NEW JERSEY ���ASugLryc II I. III I�y�_ f! County of Essex Z� o% 9c WWI` I .. � .. I . I I 1 :, ;�� I I.. .. I ,. .1 I I _Z,,7 , : 19,36:, z< ,, :_ . , 1.0 ROBERT W.MINSTER *. 1l jf * Chief Executive Officer(International Fidelity HF tERsE Insurance Company)and President(Allegheny Casualty Company) II On this 31st day of December 2015,before.`me came the individual wII ho executed the preceding instrument,to me personally known,and,being by me duly : sworn,.said he is the.therein'described and.authorized:officer of INTERNATIONAL'FIDELITY INSURANCE:COMPANY and ALLEGHENY CASUAL11 TY COMPANY.; that the seals affixed to:said instrument arelhe Corporate Seals of said Companies;that: the said Corporate Seals,and his signature were duly affixed by order of the Boards of Directors of said Companies. '1,,``,,,j1"„rl„',/',',' IN TESTIMONY WHEREOF, I have hereunto sot hand'affixed my Official Seal, at the'City of Newark New Jersey the day and year first above written. GpSY CR �ssi4., ;•V�NOTAHY� r ;m - 4 • :g '2 ... 'PUOLIC y•/�` u'A p9I�2Diq / A NOTARY PUBLIC OF NEW JERSEY %,9�F'' :'.... ¢`0,. My Commission Expires April 16;2019 'o OF NEW .•`� ��''"ho.,100,% CERTIFICATION 1,the undersigned officer.of INTERNATIONAL FIDELITY?NSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY do hereby certify that I'have compared the foregoing copy of the Power of Attorney and affidavit,a.nd the copy of the Sections of the:By-Laws''^of said`Compan.ies as set forth in said Power of Attorney, with the originals on file in the home office of said companies, and that:the same'are.correct transcripts thereof,and of the whole ..of the said originals,and that the said Power of Attorney has not beenrevoked and is now in full:force and effect. .IN TESTIMONY WHEREOF, I.have hereunto set my hand this llth :day of November;, 2016 MAR IA BRANCO,Assist ant Secretary, CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document. State of California ) County of Los Angeles ) On November 11, 2016 before me, Corinne L. Hernandez, Notary Public Date Here Insert Name and Title of the Officer personally appeared William Syrkin NameN of Signer§,( who proved to me on the basis of satisfactory evidence to be the personN whose name(') is/are subscribed to the within instrument and acknowledged to me that he/sloe/ttvey executed the same in his/her/their authorized capacity(ie#, and that by his/her/tbeirr signatureKon the instrument the personN), or the entity upon behalf of which the persons acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph o, CORINNE L. HERNANDEZ is true and correct. `I Commission #2083563 WITNESS my hand and official seal. `� `*.,..... . . Z a ` V Notary Public -California zz z A Los Angeles County 83 �i My Comm.Expires Seo 27,201 Signatt�G2il�/M Jo' Signature of Notary Public V Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name:William Syrkin Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual N Attorney in Fact D Individual D Attorney in Fact 11 Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: International Fidelity Signer Is Representing: Insurance Company z��c:�3a��=c^trla`�Z`��'�`tcie�s�cti`T�.�rla�'�%rc�i:`�Z�• .._ _ � :, _ � .. ._ _. e�s���� ����io` ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On Nov. 14, 2016 before me, Hison Kim, a Public Notary (insert name and title of the officer) personally appeared Abraham J. Jeon who proved to me on the basis of satisfactory evidence to be the person() whose name(z)aare subscribed to the within instrument and acknowledged to m e that&she/they executed the same in &her/their authorized capacity(), and that by is her/their signature($) on the instrument the person(,$), or the entity upon behalf of which the pers on(g) acted, executed the i nstrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. HISOq KIAq Commission#2119922 Notary Public-California M Orange County Signature (Seal) Y Comm.Expires Jul 18,2019 City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 �y (714) 536-5227 ♦ wvw.huntingtonbeachca.gov FfB.a, jg09 P�` Office of the City Clerk Robin Estanislau, City Clerk January 17, 2017 Stephen Doreck Equipment Rentals, Inc. 9075 Telegraph Rd. Pico Rivera, CA 90660 RE: Water Main Extension Project— CC-1389 Enclosed please find your original bid bond for CC-1389. Sincerely, �&4vdJwd Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand N - ,i ��,�i�lk" �^, ��� - � 1'1�,, �kt`f"oFr # a`kss i'��N,. 'k"e�r1 ,� s .�, Vie',� s r X:s g f � 1 sts3 y FnI 14}a`�Y *- ? wu- 1 x rk '�� .fi-7in "sk x,4-:' a".s 't i"€" '.! 't;, '�'`" 3�•r +as�. .�, e s.�-,. k '!,!� `�F +7��+ i,�'" �`r��. �x � �xz ��'"',�• 1� s�- �:�'x' �#. �s .s�zt�st c 9j��(g'� *fi !�.^�w '°�'T „��Yr f�,j s- y : �pd)tiy} I�k `Sa{a♦' kr.'£�x- s ,�yx" k d n.S�(F' ra .R"'F�Yr , :'�q�,: 'r.+`.,� hsi xd, l ll x¢�«1���'>� r '��CD :e�' �tJ tgggpg. '� .g n. r�� pp's z'+' .x Aa'f'4 x3'��3 � ` .-. xa��:� ,t•s� � -..1^ci�t'��y �k�.«.�n §{�,d +`�«"�'�����"5x`�3ro:�ra'rfx i d�::��`!s n Abe� �,�a a'.a. ,�'�,R 'im,"�j'� -�.�v e �P�7 s f� W �jtt " 5rtfiif U M64 64 v H U > �k } A s w °F��, � � � 'Jt• i�`� �'�4 $ Q+),a Np�L �"�< M1 -�L' �Ki<�,Ee�""ii�"'fP ��.i'FSCL:ti:�'u•v_F1 SECTION C PROPOSAL for the construction of CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE &GRAHAM STREET in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefore, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find Bidder's Bond in the amount of IQ�tl which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Si n 1 11/3/2016 C-2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California . Los Angeles County of g Y 11/15/2016 Sylvia Sifuentes (Notary Public _ fi On before me, _rY — TT Date Here Insert Name and Title of the Officer ;�tp en L. Dorecke personally appeared Stephen— P Name(s)of Signer(s) fi ----------- - — who proved o m ---n th ---_�---f- -...._, p o ed t e o e bass o satisfactory evidence to be the person() whose name(j) is/fir# fi subscribed to the within instrument and acknowledged to me that he/M/11/ll Y executed the same in his/Nfk/t gif authorized capacity(iffl), and that by } SYLVIA SIFUENTES his/V#r/tVffiyf signature(!J) on the instrument the Asti Commission#2081164 person(b), or the entity upon behalf of which the , Notary Public-California person(A) acted, executed the instrument. Z Los Angeles County MX Comm. Ex Tres Oct 8,2018 1 certify under PENALTY OF PERJURY under the , laws of the State of California that the foregoing fi paragraph is true and correct. WITNESS my hand and official seal. Signature: -- (� Place Notary Seal Above �Ignature of >ta y Public, OPTIONAL rf Though the information below is not required by law, it may prove valuable to persons relying on the document r and could prevent fraudulent removal and reattachment of this form to another document. fiDescription of Attached Document Title or Type of Document: Document Date: _ — _ Number of Pages: — —_ Signer(s) Other Than Named Above: -- --- Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: fi Corporate Officer--Title(s): _ i__i Corporate Officer—Title(s): Individual 0 Individual °' 111 Partner—. 1 Limited -General Top of[Ihuimh here CJ Partner—(-i Limited General Top or inl.,mh Here , i Attorney in Fact Attorney In Fact I Trustee C i Trustee 1-1 Guardian or Conservator Guardian or Conservator Other:-- 1-_1 Other: j( Signer Is Representing: _— Signer Is Representing: 6' ��;e:�,K:e c:�;�:�,c:c:�:v^�.cc:�:,ti,e;s<<:e;t;�:cnc:��c%c.�^r:��c�ce.czc.�e.�.�c^w,c�,e-<:��-c.�c,e.�c;�.c�i�=<cac�.^wide.�c.ct�,cr:v�,�-.uw�^�;•c.^�-<cn-;�.�c=ass.:. P 2009 National Notary Association-NaiionalNotary.org•1-800-US NOTARY(1-800-876-6827) Item N5907 SECTION C PROJECT BID SCHEDULE A PROJECT NAME, CC 1389 8-INCH WATER MAIN EXTENSION ON STATE LANDS BID ITEMS 1 Mobilization 1 LS $1�Fj5=, $ 2 Demobilization and Clean-Up 1 LS $ 4yE2 1.00 $ Z�0 3 Erosion Control BMPs,WPCP and SWPPP 1 LS 4 8" DR 18 AWWA C900 PVC Pipe 1300 LF $ (off,00 $ '2$,1100•d 5 Demolish and Remove existing Blow Off Assembly 4 EA $ j OO CO $ (6,000.00 6 Disinfection and Pipeline Testing 1 LS $J;,5(00. et10 $ �,S'Ob 00 7 8" Cut in Valve Assembly 3 EA $S L 0>CD $ I 5"01 In•00 Remove and Replace Existing Asphalt Paving Times 8 Trench Width 60 LF $ Z $�--t Z 36© 00 9 Top Soil Salvage, Replacement, and Conditioning 1 LS $ $ Ll / fQ_p0 TOTAL BID AMOUNT (BASIS OF AWARD) — SCHEDULE A $ I60i2.5-D - 0 0 TOTAL BID AMOUNT IN WORDS: 4-11 Q s md + W6 h uiq d r Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.t LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar %of Item(s) Subcontractor License Number Amount Contract Number By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/15/2016 at Pico Rivera , CA Date City State Stephen L. Doreck , being first duly sworn, deposes and says that he or she is Vice President of Stephen Doreck Equipment Rentals.Inc. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Stephen Doreck Equipment Rentals, Inc. Name of Bidder i , ture of Bidder Step en L. Doreck/Vice President 9075 Telegraph Rd. Pico Rivera,Ca 90660 Address of Bidder C-4 CALIFORNIA JURAT WITH AFFIANT STATEMENT 1� See Attached Document (Notary to cross out lines 1-6 below) See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) f*' a r, h Sfry` t, �11 Signature o!Document Signer No.1 Signature of Document Signer No.2(it any) r State of California Subscribed and sworn to (or affirmed) before me Los Angeles 15th November 16 ; �.. County of _ on this day of _ 20 = t Date Month Year by Stephen L. Doreck <' Name of Signer t SYLVIA SIFUENTES proved to me on the basis of satisfactory evidence Commission#2081164 to be the person who appeared before me (.) (,) Notary Public-California (and F• Los Angeles County Mv Comm. Expires Oct 8,2018 (2).__ J j.� Name of Sinner proved to me on the basis of satisfactory evidence to be the person 7w ! appe ed before me.) *1 Signat Place Notary Seal Above Signature f Notary Public Sylvia Si uentes(Notary Public) OPTIONAL ' 7hoogP the intor'rnation below is not required by law, it may prove vale- Top of th imb here Top of thunila here able to pF r.9ons relying on the docurnent and Could prevent fraudulent removaf and reattachment of this form to another docun;ent. j �F fr" :u } is Further Description of Any Attached Document 1 t- K Title or Type of Document: t i Document Date: _Number of Pages --.. ------ Signer(s) Other ---------Than Named Above; I ��i'�J��.�=�"t%Cr`c4•t�C:�=X.'tr✓�;�i�C..�'c::ic'�.`r-i.'C�4:`�?�-!�: `t-i.'�JG',e��-rv�C�`.e%G�.�.�%t"uv"�F:,�`E.�L;L:Z;'Y-�,'�%�%�?`¢nT.r:Z`:'•�'�t,.`�.C-c%�;�:3',;7 ©2009 National Notary Association•NationalNotary.org•1-800-US NOTARY if-800-876-6827) Item#5910 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Stephen Doreck Equipment Rentals, Inc. Contractor v' r e Y Stephen L. Doreck/Vice President Title Date: November 15,2016 C-5 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ffrc-:ac-:r•,cr.�cc�•.accr'.rccry:.c�c.�cai�,Fr-<:r..�=c,.c�crcrrc:c..e:cz,�ec:t.ir,.cue.,�:r..�rcr..c;r„cccz?�c•,�..isr-.`c:��;e^��r.,er,�r.,;rcr�.rcc..c=e.c:c•.cr..c��;r,�. State of California E t•l County of Los Angeles — 11/15/2016 Sylvia Sifuentes (Notary On before me, Y _rY Public Date Here Insert Name and Title of the Officer Stephen L. Doreck personally appeared P `i Name(s)of Signer(s) S' fi who proved to me on the basis of satisfactory evidence to be the person(j) whose name(j) is/ subscribed to the within instrument and acknowledged to me that hei ilydt Y executed the same in his/114/tIHQ,N authorized capacity(if), and that by r��(r his/ft/tV& signature(q) on the instrument the person(p), or the entity upon behalf of which the ; SriVIA SIFUENTES person(p) acted, executed the instrument. Commission#t 2081164 fi a Notary Public-California 5 Z Los Angeles County I certify under PENALTY OF PERJURY under the M Comm. Ex iresOctB 2018 laws of the State of California that the foregoing paragraph is true and correct. fi r WITNESS my hand and official seal. Signatur --- :t(`. Place Notary Seal Above Signature of ary }; OPTIONALa Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. fi Description of Attached Document Title or Type of Document: Document Date: _— Number of Pages: Signer(s) Other Than Named Above:-- ' ----------------- ---- Capacity(ies) Claimed by Signer(s) } Signer's Name: —._ Signer's Name: a Corporate Officer—Title(s): _ Ci Corporate Officer—Title(s): fi Individual t.-)Individual � WHERE. , Partner =1 Limited Ci General Top or fhr,mb here 0 Partner—(l Limited t'i General Top of Ihumb here I rt Attorney in Fact C-_l Attorney in Fact Trustee I.-]Trustee fi I Guardian or Conservator O Guardian or ConservatorI Other: C::.1 Other: Signer Is Representing: Signer Is Representing: i rD 2009 National Notary Association•National Notary.org•1-800-US NOTARY(1-800-876-6827) Item#5907 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes ®No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Stephen Doreck Equipment Rentals, Inc. Contractor ABy - Stephen L.Doreck/Vice President Title Date: November 15,2016 C-7 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT fi State of California fi AR County of Los Angeles fi On 11/15/2016 before me, Sylvia Sifuentes (Notary Public) Date Here Insert Name and Title of the Office; fi personally appeared Stephen L. Doreck 4 Name(s)of Signer(s) 1& 6 fi who proved to me on the basis of satisfactory 6, evidence to be the person(j) whose name(j) is/fffl fi subscribed to the within instrument and acknowledged X to me that he/M/1t#4f executed the same in ti fi his/t1&/tHQYil` authorized capacity(iby), and that by his/V#MV#� signature() on the instrument the person(t), or the entity upon behalf of which the 6 --fy—LVIA SI LIENT ES It I I person(A) acted, executed the instrument. Commission#2081164qz 1 Notary Publir.-California Z Z Los Angeles County I certify under PENALTY OF PERJURY under the my comm. Expires Oct 8,2018 laws of the State of California that the foregoing paragraph is true and correct. fi WITNESS my hand and official seal. fiSignaturv::�l Place Notary Seal Above Signature 1f OPTIONAL Though the information below is not required by law, it may prove vafuab e ersons relying on the document fiand could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: —-------- Document Date: Number of Pages: Signer(s) Other Than Named Above: ----------- Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: Corporate Officer— Title(s): F-J Corporate Officer Title(s): j Individual FJ Individual fi 1 Partner—D Limited General lop of[hurrib here E3 Partner—Cl Limited F],General Top of lht.imb here -I Attorney in Fact Fj Attorney in Fact Li Trustee [.1 Trustee fiI Guardian or Conservator Ej Guardian or Conservator is 7 Other: Ej Other: Signer Is Representing: Signer Is Representing: Q 2009 National Notary Association-Nafiona1NoIa,y.o,g-1-800-US NOTARY(1-800-876-6827) Item#5907 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Stephen Doreck Equipment Rentals, Inc. Bidder Name 9075 Telegraph Rd. Business Address Pico Rivera CA 90660 City, State Zip ( 562 ) 949-4949 steve@doreckconstruction.com Telephone Number Email Address 665471 A State Contractor's License No. and Class 3/03/1993 Original Date Issued 02/18/2018 Expiration Date The work site was inspected by Pablo Viramontes of our office on November 7th 2016. The following are persons, firms, and corporations having a principal interest in this proposal: Catherine R.Doreck/President Stephen L.Doreck/Vice President Pablo Viramontes/Vice President The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Stephen Doreck Equipment Rentals Inc. Co p y Nam Signatu of Bidder Stephen L. Doreck/Vice President Printed or Typed Signature Subscribed and sworn to before me this 15 day of November , 2016 . NOTARY PUBLIC Sylvia Si 1 P� � w���G NOTARY SEAL C-8 CALIFORNIA JURAT WITH AFFIANT STATEMENT r l See Attached Document (Notary to cross out lines 1-6 below) f-i See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) ' r T fi fi ;> fi Signature of Document Signer No. 1 Signature of Document Signer No.2(it any) J r State of California Subscribed and sworn to (or affirmed) before me R Los Angeles 15th November 16 ; County of on this day of 20 C Date Month Ycar by ; / Stephen L. Doreck 1 P _ {� ---T-Name of Signer SYLVIA SIFUENTES proved to me on the basis of satisfactory evidence fi Commission#2081184 to be the person who appeared before me •� Notary Public-California ands Z Los Angeles County MY Comm. Ex Ires Oct 8 2018 (2) ?i Name of Signer ) proved to me on the basis of satisfactory evidence ¢� to be the person who appe d b e fT e.) Signatur _ _ _ Place Notary Seal Above Si, ture of Nar c ; Sylvia Si of Public) i OPTIONAL ,lough the information below is not required by taw, it may provo vahl- Top of thumb here Top of fhumh here able to poisons relying on the docurmeol and could prevent kaudulent f removal and reattachment of this forrn to another document Further Description of Any Attached Document { — . Title or Type of Document: fi Document Date:-------------.._-- --------Number of Pages: Signer(s) Other Than Named Above; ©2009 National Notary Association•NationalNotary.org•1.800-US NOTARY(1-800-876-6827) Item 45910 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1 City of South Gate - 8650 California Ave. South Gate, Ca 90280 Name and Address of Public Agency Name and Telephone No. of Project Manager: Ken Tang (805) 653-6597 $4,092,065.00 Water& Sewer Main Replacement June 7, 2013 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Westside water and sewer main replacement 2. City of Monterey Park- 320 W.Newmark Ave. Monterey Park, Ca 91754 Name and Address of Public Agency Name and Telephone No. of Project Manager: Rey Alfonso (626) 307-1320 $339,340.00 Water Main Replacement October 9, 2015 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Water main replacement replacement on De La Fuente&Harding 3• City of Alhambra Name and Address of Public Agency Name and Telephone No. of Project Manager: Dennis Ahlen(626) 570-3274 $835,170.00 Water Main Replacement August 21 2015 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Replacement of water mains-El Molina, Vega St,Valencia , Arroyo Terrace C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Rick Hernandez Name of proposed Project Manager Telephone No. of proposed Project Manager: 310) 892-8766 City of Corona- $879,025.00 Water Main Replacement 12/24/2015 Project Name &Contract Amount Type of Work Date Completed City of Alhambra - $835,170.00 Water Main Replacement 8/21/15 Project Name&Contract Amount Type of Work Date Completed City of El Segundo 44cj5 j00.2i Water Main Replacement 10/3/14 Project Name &Contract Amount Type of Work Date Completed 2. Armando Ortiz Name of proposed Superintendent Telephone No. of proposed Superintendent: 562) 980-5273 City of South Gate- $4,092,065.00 Water Main Replacement 6/7/13 Project Name &Contract Amount Type of Work Date Completed City of Monterey Park- $339,340.00 Water Main Replacement 10/9/2015 Project Name&Contract Amount Type of Work Date Completed �Zlg3S7,1166.-A Three Valleys Municipal Water District Water Main Replacement 7/31/15 Project Name &Contract Amount Type of Work Date Completed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link Call (844) 522-6734 https:Hefiling.dir.ca.gov/P WCR/ActionS ervlet?action=displayPWCRegistrationFonn DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Stephen Doreck Equipment Rentals, Inc. Contractor ABy Stephen L. Doreck/Vice President Title Date: November 15,2016 DIR#: 1000011335 C-11 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT i0l State of California Los Angeles County of On 11/15/2016 before me, Sylvia Sifuentes (Notary Public) Date Here Insert Name and Title of the Officer --- 6 personally appeared Stephen L. Doreck Name(s)of St,)ner(s) who proved to me on the basis of satisfactory evidence to be the person(j) whose name(q) is/Pf# fi subscribed to the within instrument and acknowledged fi to me that he/M/W#y executed the same in hisN&AH(Ulif authorized capacity(idi), and that by his/Vfir/tVff signature(F/) on the instrument the person(t), or the entity upon behalf of which the SYLVIA SIFLIENTES Cillinnission#2081164 person(p) acted, executed the instrument. Notary Public-California Z der the Los Angeles County I certify under PENALTY OF PERJURY under MY Comm. Expires Oct 8,2018 laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature:- Place Notary Seal Above Signatur, nary Put is OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: -------------- Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: i-! Corporate Officer--Title(s): E-i Corporate Officer—Title(s): L— Individual CI Individual Limited General Top Of thumb here Partner— imited rob here Partner— Cl D 'General lop of thu Attorney in Fact [I Attorney in Fact Trustee I Trustee 1-1 Guardian or Conservator I---j Guardian or Conservator Other: Other: Signer Is Representing: Signer Is Representing: V Q 2009 National Notary Association-NationalNotary org•1-800-US NOTARY(1-H00-876-6827) Item#5907 \ / s / §. \ Q / c K 2 0 $ e / , e / E ° ; n r n m 2 e o ¢ < z } Co { \ \ R ) -_ 2 0 - % ( E $ m ; m K , } R g / 2 \ § ( f _ \ / k \ \ y ^ \ am / .. E { , , \ § { c 0 0 \ / £ i 7 2 \ e 2 [ q r e \ 5 ) j : e 0) / \ ( = o s - z \ \ _ ) \ / , \ 0 » \ \ § W § ° o E § \ � ^ . .. . . � » 0 w \ \ / : \ / \ } \ aaj § - / e y _ e z ;o / ƒ , 8 39 \ / pr { � . a , } z ' § ) 0 / § ®< ® ° = oajm co to_ } ] \ ) ; n ° / ® ƒ \ < _ § ® . 2 ( 2 § } / \ \ f $ ; CDo ; = f \ > , _ .. � ƒ a § ® / » (AG ° } CDo � © 3 2 » # _ § \ LU ` CD m 2 \ 2 ƒ ( \ \ � 0 U 3 2 z \ 3 ƒ '_did Bond Bid Bond Number:CSBA-3475 CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal status and principal place of business) Stephen Doreck Equipment Rentals,Inc. North American Specialty Insurance Company 9075 Telegraph Road 6 Hutton Center Drive,Suite 850 Pico Rivera,CA 90660 Santa Ana,CA 92707 OWNER: This document has important legal (Name,legal status and address) consequences.Consultation with City of Huntington Beach An attorney is encouraged with respect its completion or modification. Huntington Beach,CA 92648 Main Street Any singular reference to Hun Contractor,Surety,Owner or other party shall be considered Plural where applicable. BOND AMOUNT: Ten Percent(10%)of Amount Bid PROJECT:CC No. 1389 8-Inch Water Main Extension Project on State Lands Allstone Drive and Graham Street Project Number,if any: The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof,or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 4th day of November.2016 Stephen Doreck Equipment Rentals Inc. (Principal) (Seal) (VItness) e) L- ice reS' en North American Specialty Insurance Company (Surety) (Seal) (Vitness) (Tit e)Arturo Ayala,Atto -in-Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond ALA L Producers(NASBP) (www.nasbp.o ) makes this form document available to its members, affiliates,and associates in Microsoft Word format for use in the regular course of surety business.NASBP vouches that the original text of this document conforms exactly to the text in AIA Document A310-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users,so careful review of its wording and consultation with an attorney are encouraged before its completion, execution or acceptance. CALIFORNIA ALL.-PURPOSE ACKNOWLEDGMENT :ccarcrisr.�rc�.rr;�;c.�'r.�.c:e�,n.n�,:ee.�rcr.€.r•.ccsrcr.�:acr;�,cry-�re..r..c:�„r:�.4=.`.i�t-.R cc^.�•r.�;�.e-r.,<—;t:f=r•.rrc�r-cre-:r rc=:e'�.c:r..c•�,t-�:Y; State of California County of Los Angeles ti fi On 11/15/2016 before me, Sylvia Sifuentes (Notary Public) Date Here Insert Name and Titfe of the Officer X. personally appeared Stephen L. Doreck Name(s)of Signer(s) r, fi who proved to me on the basis of satisfactory evidence to be the person( whose name(q) is/fffl 5 subscribed to the within instrument and acknowledged fi to me that he/M/fd> 4f executed the same in ' his/NW/974i authorized capacity(itg), and that by ' his/V#r/tVffyf signature( on the instrument the person(p), or the entity upon behalf of which the r, STVIA SIFUENTES Comrnlsslon#2081164 person(p) acted, executed the instrument. �N Notary Public-California i fi = Los Angeles County I certify under PENALTY OF PERJURY under the my Comm. Expires Oct 8, 2018 laws of the State of California that the foregoing paragraph is true and correct. , WITNESS my hand and official seal. fi Signature. Place Notary Seal Above signatur o Notary Public: OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document r and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: — Number of Pages: Signer(s) Other Than Named Above: C pac ty(ies) Claimed by Signer(s) : Signer's Name: Signer's Name: i Corporate Officer—Title(s):_ C?Corporate Officer—Title(s): Individual ( individual I.=l Partner—F-1 Limited ❑General Top of thumb here ❑Partner—CI Limited ❑General Top of thumb here .1 Attorney in Fact 0 Attorney in Fact fi D Trustee D Trustee --i Guardian or Conservator 0 Guardian or Conservator fii ; Other: Cl Other: Signer Is Representing: Signer Is Representing: . F r� OL .:h.`E><;'�:e^e_•Gc-t,c-(;�c=�,�:s;cs�•�:k,e::,v"�=i?�%L:c..c.' 4`�::5)�%C:-urde<?e-w'u;'e_f^c>:o'�:,"W`eE,^uC:'�f;'c-G`�%f.`uC.t:Sr'�>i>'e_4`L�.e.-t%(;K=G'r-%G'�:.eX.•X;t>t%cxtx^c<X•c``uti.cY.'Jh 2009 NalionaI Nola ry Association•National Nola ry.org-1-800-US NOTA9Y(1-800-876-6827) Item A5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ('.c-r�-.<=(`.rrcY.cc!)�C.crc:rc;<�.c>c��`:cei�C`<:ri=�C,c(`.r;r..<�Lc>r..�C�!`lcr..e,C..c-�C�-�ccr.��C.,sec-:!'.c�('.c��'"">.c6`.��C.cr.,c:ec-Y.cr•.�-r..c:c.'c:t�:C.c(c.�rc�.c�fc�.^r fiState of California n eles County of Los A g , fi On 11/04/2016 before me, Sylvia Sifuentes (Notary Public) Date Here Insert Name and Title of the Officer Arturo Ayala s fi personally,appeared � Name(s)of Signer(s) who proved to me on the basis of satisfactory fi evidence to be the person() whose name(j) is/fr) fi subscribed to the within instrument and acknowledged fi to me that helMlY Y executed the same in fihis/49/tH(U/ authorized capacity(if), and that by fi S1fLVIA SIFUENTES his/V#r/tVffy signature(q) on the instrument the Commission#2081164 person(A), or the entity upon behalf of which the ; Notary Public-California person(p) acted, executed the instrument. = Los Angeles County My Comm. Expires Oct 8,2018 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing fi paragraph is true and correct. WITNESS my hand and official se I. fi fi Signature: Place Notary Seal Above Signalure o blic OPTIONAL Though the information below is not required by law, it may prove valuable ersons relying on the documents and could prevent fraudulent removal and reattachment of this form to another document. . Description of Attached Document fi Bid Bond Title or Type of Document: Document Date: 11/04/2016 Number of Pages: 1 Signer(s) Other Than Named Above: _ _ —_ h fi Capacity(ies) Claimed by Signer(s) ' k Signer's Name: Signer's Name: fiEl Corporate Officer—Title(s):_ _ ❑Corporate Officer—Title(s): fi ❑ Individual ❑Individual E7 Partner—❑Limited F I General Top of thumb here ❑Partner—El Limited ❑ General Top of thumb here fi El Attorney in Fact J Attorney in Fact ,z Ei Trustee ❑Trustee fi i-_l Guardian or Conservator ❑ Guardian or Conservator Ll Other: ❑Other: Signer Is Representing: Signer Is Representing: 2009 National Notary Association-National Notary.org•1-800-US NOTARY(1-800-876-6827) Item M5907 Bond No. CSBA-3475 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Overland Park,Kansas each does hereby make,constitute and appoint: DANIEL HUCKABAY,ARTURO AYALA,ANDREW WATERBURY,DWIGHT REILLY,SHAUNNA BURCHFIEL,and MICHAEL CASTANEDA JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: ONE HUNDRED TWENTY FIVE MILLION($125,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two of the President,any Senior Vice President,any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." caaQ ?RONq'�� ` pp... ` i:`4 AG '�` P°q4 SGy'o By ljtY' r.qpr _�=;'G w•,�y% =i p� F'•,q Steven n erson, emar Vic rest ento as mgton nternanona nsurance Company Z's m 2f s�i- 'z g &Senior Vice President of North American Specialty Insurance Company SEAL :o =o: �- p t�i7•.Zm 1973 [p:T y i=�j to &Senior Vice President of Westport Insurance Corporation 2 By ���iijdON1�I\1N`\\\\` "�Arrptt* n �A Mike A.Ito,Senior Vice President of Washington International Insurance Company y &Senior Vice President of North American Specialty Insurance Company &Senior Vice President of Westport Insurance Corporation IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this llth day of March 20 16 North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook SS: On this 1 ith day of March 2016,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A.Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL � - NOTARY PllBLIC,STATE OF 1111NOIS M.Kenny,Notary Public \b MY COMMISSION EXPIRES 12I04/2tb17 I, Jeffrey Goldberg the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 4th day of November 20 16 i / r Jeffrey Goldberg,Vice President&Assistant Secretary of Washington International Insurance Company& North American Specialty Insurance Company&Vice President&Assistant Secretary of Westport Insurance Corporation City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov fFB,17,IS I' : Office of the City Clerk Robin Estanislau, City Clerk January 17, 2017 TE Roberts, Inc. 306 W. Katella Ave., Unit B Orange, CA 92867 RE: Water Main Extension Project— CC-1389 Enclosed please find your original bid bond for CC-1389. Sincerely, 444V 40J� Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand 00 Q0 C rl-4- U CY) aJ 0 0 < LL.J u 4-0 C- 0 (3) U +-i buO 0 W U 5�. •(:L) +-J 4-J c: =3 • (0 0 4-J (3) C 0 u 0 4-J 0 -1-J 4-J 0 G G r-4 Lo c- o o LU Ow a� LU a_ , -J L Z LF,- 0 u o LU --j FO - x Cc: III z c3d < < LL w o 10 LU z 00 N F-- w LU -2 < o 0 ;5 F-- F-- u m Ln a) o u z 7 < 00 0 C) 3C') 0 k 00 cn z 0 VIC) b LU LU z F-- < F-- FDO- Ln CL ,0 LU 01 u SECTION C PROPOSAL for the construction of CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefore, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. a Accompanying this proposal of bid, find bi 66-eV S 5una in the amount of iz 2- 3 Z O which said amount is not less than 10% of the aggregate of the total bid price, as require by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Ad"denda No. ' , Date;Received;. er Si nature c-2 SECTION C PROJECT BID SCHEDULE A PROJECT NAME, CC 1389 8-INCH WATER MAIN EXTENSION ON STATE LANDS BID ITEMS ,,, ;; r. IN 1 Mobilization 1 LS 2 Demobilization and Clean-Up 1 LS $ 3 5-00,,`)o 3 Erosion Control BMPs,WPCP and SWPPP 1 LS $ 7;EOC�00 $ '7,s CT,00 4 8" DR 18 AWWA C900 PVC Pipe 1300 LF q 7,00 5 Demolish and Remove existing Blow Off Assembly 4 EA ! 3 ,O0,O 6 Disinfection and Pipeline Testing 1 LS $ 0 OOo, $ 1 0 ,&c) 7 8" Cut in Valve Assembly 3 EA $ 000.00 $ 5S '-00.00 8 Remove and Replace Existing Asphalt Paving Times 60 LF Trench Width 9 Top Soil Salvage, Replacement, and Conditioning 1 FLTS $ p 00.06 $ [0 Do o.0 0 TOTAL BID AMOUNT (BASIS OF AWARD)—SCHEDULE A $ 2_2� ,ZDO, or, TOTAL BID AMOUNT IN WORDS: TT iN n ff a r- e c� T iAl P 14 f�i 1`A r �� `� � a vt S ct 7 w� if mil, v>' i A (A 5 IV ID Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address,of State Class DIR Dollar % of " Items Subcontractor License Number Amount `Contract O Number By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 i 1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Nance and Address,of State C`Xass" I s Subcoantractor License > Number Amount Contract tefn{) Nu»sber- l I By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 1 � NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on II-1�It , at Do n t Date Ca State T moth sober is , being first duly sworn, deposes and says that he or she is Fresi d e rni of -T.E• R09-ty t S,, �nC, the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Tober+s I nc Name of Bidder Signature of Bi deff(rntby I?oberfis Sob a K fd161AVenue, Uy1A-B, ULIMeLl 9241 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. T. p- . 1��ber � s , Inc . Contractor By Timotl�y Roberts Pre sI d �-�- Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? // ❑ Yes ® No If the answer is yes, explain the circumstances in the space provided. N)Lo Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 I i COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. 1 Roberts � lYnc Contractor By 11�1� y 1peY�5 Title Date: C-7 P n , BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: 1 E pbey nc Bidder Name " ' .5b�o W. KQ�ellq ANenUe, Unif C3 BuOness Ad e ss Co City, State Zip (T q )60 -0012. 4CY-06Crt-C .CDW Telephone Number Email Address U;o � - - n State Contractor's License No. and Class Original Date Issued �Cto bey 3l , Expiration Date The work site was inspected by gY►� W�►Aty of our office on No-4tmbe►' J� , 2011 The following are persons, firms, and corporations having a principal interest in this tprroposal: l 1'Y10�'1 Y S � K 4a we RD I eY� r su 1'er e itsSea efa r -JUsw 2LkfAs ,W'c Resiaent Wjc,ho[ns ber fs e & Utnt 7•�,- - Fobeyt , 31 nC• The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. 1robe Y-t S Company Na e i C—. Signature of Bidder I imo-thy PZolber tS Printed or Typed Signature Subscribed and sworn to before me this Wtay of t oQVM�►r.�/, 201L6. NOTARY PUBLIC I n - "Ta ( X�1�UA), � o NOTARY SEAL see aka �ed C-8 "m_-- sae.-�"''✓- w ?j e.-^ w <PP03rf ACKNOWLEDGMENT CIVIL CODE § 1189 officer completing this certificate verifies only the identity of the individual who signed the tuts certificate is attached,and not the truthfulness,accuracy, or validity of that document. StateAdif pia ) county of On d before me, I rh E NeAijeilt Date Here Insert Name and Title o the Officer personally appeared T l '�� ��f V+S Name(s)of Signers) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signatures)on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that-the foregoing paragraph is true and correct. KlNI E. fVEWE7T WITNESS my hand and official seal. Uu A COMM. #2054795 z a= Notary Public•California Orange County ° Signature A&AA: Lu Al j1 M Comm.Ex fires Feb.7,2018 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: f- ldAAers In-Fpicrna-F i on Document Date: Number of Pages: I CRY Signers) Other Than Named Above: Non -e- Capacity(ies) Claimed by Signer(s) Signer's Name: TItM D-i 1U bier✓i Signer's Name: Corporate Officer - Title(s): pry--Si &eyu4 C_l Corporate Officer - Title(s): ❑ Partner - ❑ Limited ❑ General C1 Partner - Limited ❑General 01 Individual ❑Attorney in Fact El Individual l-1 Attorney in Fact []Trustee G Guardian or Conservator -]Trustee El Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: fi g. R,d In Signer Is Representing: 02014 National Notary Association •www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item #5907 , 1 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. b'hj a kL Sri' �ed(A 100 c iG ���lkPr bnire TNeu�D�rk P��a Gh,C,l� Name and Address of Public Agency Name and Telephone No. of Project Manager: AnAsti Tr w a 4 q �i'S1I S1S - PVCwaW mat'n �.24. Contract Amount Type of Work Date Completed Provide additional project description to show similar work: L 73V 16 Zzt, r-l�(�cl I,b�I' III PUC W �,' K M d t,,, add Gt42DUY law Le- , , -Cl1LAQJP-- IL114E:b(bZ i0lD✓k J 2. � _ t7 t't�l�l �f CITE y;okl n�9 n r� (,la Name and Address of Public Agency Name and Telephone No. of Project Manager: O 1) I ni 9 S 1 M-`I U e 1,313 MO - DIP yfakk- Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 11,2�Q' IZ" DIP r{rIAlmed VIa&,c I(ri e a ad cep?ur+:tna✓lc-es iin/,Iyd WIT P 3. e.l b of M &o NOD U I ahland �hr� Uei mgAha-ww &?Adi< (4 Name and Address of Public Agency Name and Telephone No. of Project Manager: 6AtY1 b Da� 31 D 3 D 2-6-3 S I Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 7- D�'� $"J)IV—apiisk-Gr may/ rtl2laLGem-t4 i' A4/) ADpurieila Ces L I., -IrrA Ffi ,nfifiru I C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. TIMolfiv Y-fib-trtS Name of proposed Project Manager Telephone No. of proposed Project Manager: ( 3 S 3 ZZ 61 2 Ci I y o F Drlip-ria waA*(,K Main Irr)proveMeofis fo,W` %V CmLc wk,r mArri 43 3, _12; 4 S-i-— d,(N d _appu r+-e n a#ices w r+h re�slyrcrh on Project Name& Contract Amount Type of Work Date Completed mt)ul4vn Ntluel Wo4er'Dtsmd LO)ala MQ,rnlfne Rep(ac-emerlf PmJeth 22�s' c" s" QvG p( pet tile 4A Gutd ClpPwIc a.Ac-es S" It-t—LS Project Name& Contract Amount Type of Work Date Completed Cray D F 0(1+tLr1u frAA(is I)ame5,hc Wa+-ev Loo?Md Wi-hes fvr hovapty deveomee� eQcl-ed waW Prrn t4- tt tD,10?,lo/,- 'jO=' ?4-3D"j)q wAW AL-,h_chcrhm ,sac.,., 9-3Dq4- Project Name& Con act Amount Type of Work Date Completed 2. �ug�i�n SZnb�,� ts Name of proposed Superintendent Telephone,Flo. of proposed Superintendent: J 14 6 �q -d 0 ,72 U41 DP NtvJ por-f- Beach Mewpor+ Boulevard Wa4--er- 2,-132' Ib-W°(MLL4. 1&,,, Mal-r'F KeOLeWetlf 43,SII,5lS: Water rnft aria navrf"aes y-210-1 Project Name&Contract Amount Type of Work Date Completed Iry In e KAnch W a-{-Y.r D ls4 16+ Pbrtola s,prinT 16" Ke vdef l;ZOI' IV (--RoS- PVG via4er wat&,, pl Pttina I B�I��� — RIC 1 i rrj e 020-hIrraOce S 8-21-1 � Project Name& Contract Amount Type of Work T Date Completed uppt Sant 6-Abrlet Vk(le M.untctRI &W Ih°ftvto4- �� Ir�AUsn-y, base Rccyccrd _ 2,410' PVC waken main rf-t�d,� rptl uri Z,42fi.bS`7- 1AJg+,tr a i!� t bwb on g144-e n Pr ject Name& Contract Amount Type of Work Date Completed C-10 Completed Construction Projects include: Owner: Golden State Water Company 2143 Convention Center Way, #110 Ontario, CA 91764 POC: Edward Khong (714) 535-7711 ext. 225 Project Name: Pal Mal 33210327/5637 Description: 4,100' 6-8" PVC pipeline and appurtenances Contract Award: $499,941.00 Project Awarded:4-15-16 Completed:8-25-16 Owner: City of Ontario 1425 S. Bon View Avenue Ontario, CA 91761 POC: Fernando Cobos (909) 395-2695 Project Name: Water Main Improvement/5581 Description: 10,600' 8-12" CIVIL & C water main and appurtenances replacement with restoration Contract amount: $3,298,459.00 Project Awarded: 7/30/15 Completed: 5-6-16 Owner: Rose Hills Inc. 3888 Workman Mill Road Whittier, CA 90601 POC: Michael Baron (562) 205-4835 Project Name: Rose Hills Retrofits/5577 Description: Convert Rose Hills Cemetery to Recycled Water Contract Award: $795,700.00 Project Awarded: 6-10-15 Completed: 5-13-16 Owner: Consolidated Contracting Services, Inc. 181 La Pata Avenue, #200 San Clemente, CA 926273 POC: Rory Egan (949) 498-7500 Project Name: South View at Rose Hills/5612 Description: Underground drainage at Rose Hills Contract Award: $292,170.00 Project Awarded: 1-5-16 Completed: 4-30-16 Owner: City of Newport Beach 100 Civic Center Drive Newport Beach, CA 92660 POC: Andy Tran (949) 644-3315 Project Name: Newport Boulevard Water Main Replacement/5562 Description: 2,732' 16-24"CML&C + 1641' 16" PVC water main and appurtenances Contract Award: $3,511,515 Project Awarded: 5-14-15 Completed:4-26-16 Owner: Rose Hills Inc. 3888 Workman Mill Road Whittier, CA 90601 POC: Michael Baron (562) 205-4835 Project Name: Valley Ridge for RCl/5591 Description: Install water and storm drain system for new development Contract Award: $766,276.50 Project Awarded: 8-17-15 Completed:2-29-16 Owner: American Asphalt South, Inc P.O. Box 310036 Fontana, CA 92331 POC: Lyle Stone (909) 427-8276 Project Name: FY 2014-2015/FY 2015-2016 Collector/Arterial, Local Street Maintenance-Slurry Seal and CDBG Pavement and Alley Pavement Rehabilitation/5580 Description: 64,000 SY surface restoration Contract amount: $379,800.00 Project Awarded 6-25-15 Completed 10-9-15 Owner: City of Corona Public Works Department 400 S. Vicentia Avenue Corona, CA 92882 POC: Tracy Martin (951) 817-5880 Project Name: Water Meter Removal and Replacement/5098 Description: Removed and replaced 12,169 water meters Contract amount: $700,000.00 Project Awarded 11-15-11 Completed: 9-11-15 Owner: Metropolitan Water District of Southern California 700 N. Alameda Street Los Angeles, CA 90012 POC: Andrew Walcott (909) 392-2977 Project Name: Upper Feeder Railroad Crossing Encasement Project/5556 Description: Installed concrete encasement for waterline Contract amount: $ 418,600.00 Project Awarded 4-14-15 Completed 9-11-15 Owner: Golden State Water Company 2143 Convention Center Way, Suite 110 Ontario, CA 91764 POC: Gaudencio (Jun) Cervantes (310) 436-6956 ext 200 Project Name: Gardena Boulevard New Water Main, Gardena, CA Description: 900' 6-12" DIP and appurtenances Contract amount: $332,700.00 Project Awarded 6-1-15 Completed: 8-14-15 Owner: Moulton Niguel Water District 26161 Gordon Road Laguna Hills, CA 92653 POC: Steve Merk (949) 425-3538 Project Name: MNWD Inter-Tie to ETWD, Contract No. 2014.007, Mission Viejo, CA/5531 Description: Install 200' 24" interagency connection piping and appurtenances Contract amount: $362,400.00 Project Awarded: 1-5-15 Completed: 8-14-15 Owner: Golden State Water Company 1225 W. 190th Street, Suite 350 Gardena, CA 90248 POC: Doug Velez (310) 436-6950 ext 105 Project Name: 147th Street, Hawthorne Improvement Project, Hawthorne, CA Description: 1,100" 8" DIP and appurtenances Contract amount: $286,425.00 Project Awarded: 10/30/14 Completed: 5-4-15 Owner: Moulton Niguel Water District 26161 Gordon Road Laguna Hills, CA 92653 POC: Ray McDowell (949) 425-3527 Project Name: La Siena Mainline Replacement Project, Laguna Niguel, CA Description: Install approximately 2,265' 6" & 8" PVC pipeline and appurtenances Contract amount: $568,332.00 Project Awarded 1-5-15 Completed: 5-14-15 Owner: City of Ontario, Ontario Municipal Utilities Company 1425 S. Bon View Avenue Ontario, CA 91761 POC: Fernando Cobos (909) 395-2695 Project Name: Water Main Replacement Project in Various Streets, OMUC/5502 Contract No. UT 1314-05, Ontario, CA Description: 12,656' 8-12" (4232LF 12") CMLC water main and appurtenances Contract amount: $2,996,181.90 Project Awarded: 6/17/14 Completed: 5/31/15 Owner: San Gabriel Valley Water Company 11142 Garvey Avenue El Monte, CA 91732 POC: Frank LoGuidice (626) 448-6183 Project Name: 8253L Duchess Drive Improvements, Duchess Drive, Whittier, CA Description: 3,000' 8" GWBR pipe and appurtenances Contract amount: $299,000.00 100% own forces Project Awarded 11/1/14 Completed: 1/14/15 Owner: California Water Service Company 2632 W. 237th Street Torrance, CA 90505 POC: Clyde Arucan (310) 325-4605 Project Name: Station 63 Pipeline, Montebello, CA Description: 5,200' 18" DIP & CMLC Transmission Water Main Contract amount: $1,299,676.00 95% own forces Project Awarded: 7/15/14 Completed: 3/20/15 Owner: City of Pico Rivera, Public Works Department 6615 Passons Boulevard Pico Rivera, CA 90660 POC: Ana Ananda (562) 801-4221 Project Name: Automatic Meter Reading Meter Upgrade, CIP No. 21263, Pico Rivera, CA Description: Remove and replace 251 existing meters and transmitters Contract amount: $92,682.00 100% own forces Project Awarded: 7/1/14 Completed: 10/22/14 Owner: City of Ontario 303 East B Street Ontario, CA 91764 POC: Omar Dandashi, NMC Builders, LLC (909) 268-9918 Project Name: Francis Domestic Water Loop and Recycled Water Project, Ontario, CA Description: Wet utilities for New Model Colony Housing Development- 30,000' 24-30" DIP water distribution system Contract amount: $10,702,107.00 85% own forces Project Awarded:10/13/13 Completed: 9/30/14 Owner: Irvine Ranch Water District 15600 San Canyon Avenue Irvine, CA 92619 POC: Thomas Bonkowski (949) 453-5692 Project Name: Portola Springs 16" Recycled Water Pipeline, PR 30433, Irvine, CA Description: 1,201' 16" C-905 PVC water pipeline and appurtenances Contract amount: $184,665.90 96% own forces Project Awarded: 6/24/14 Completed: 8/27/14 Owner: Rose Hills Memorial Park & Mortuary 3888 Workman Mill Road Whittier, CA 90601 POC: Michael Baron (562) 205-4835 Project Name: Rose Hills Mission Hills Phase 3, Rose Hills Memorial Park, Whittier, CA Description: Reclaimed water, potable water, irrigation, storm drain, and sewer improvements Contract amount: $645,200.00 80% own forces Project Awarded: 2-15-14 Completed 8-13-14 1 Owner: City of Newport Beach 100 Civic Center Drive Newport Beach, CA 92660 POC: Patrick Arciniega (949) 644-3347 Project Name: Corona del Mar Transmission Pipeline Improvements, Corona del Mar, CA Description: 8,500' 12-30"CML CIVIL & C water main and appurtenances Contract Award: $4,402,750.00 Completed:4,796,801.56 88% own forces Project Awarded: 1/23/13 Project Completed: 6/13/14 Owner: San Gabriel Valley Water Company 11142 Garvey Avenue El Monte, CA 91732 POC: Frank LoGuidice (626) 448-6183 Project Name: 8211 L Big Dalton Avenue, Baldwin Park, CA Description: 3,100' GWBR pipe and appurtenances Contract Award: $251,596.00 Completed: $252,993.00 98% own forces Project Awarded: 9-16-13 Project Completed: 1/17/14 Owner: Rose Hills Memorial Park & Mortuary 3888 Workman Mill Road Whittier, CA 90601 POC: Michael Baron (562) 205-4835 Project Name: Purity and Lotus Storm Drain at Rose Hills Memorial Park, Whittier, CA Description: 18"& 24" HDP storm drain including catch basins and manholes Contract Award: $523,150.00 79% own forces Project Awarded: 9/9/13 Completed 12/26/13 Owner: Rose Hills Cemetery 3888 Workman Mill Road Whittier, CA 90601 POC: Michael Baron (562) 205-4835 Project Name: Lakeview Storm Drain, Rose Hills Memorial Park, Whittier, CA Description: 7,860' 24"& 30" HDP storm drain including catch basins and manholes Contract amount: $821,300.00 90% own forces Project Awarded: 7/3/13 Project Completed: 10/28/13 Owner: Suburban Water Systems 1325 North Grand Avenue, Suite 100 Covina, CA 91724-4044 POC: Long Thai (626) 543-2548 Project Name: WO# 13-4120 Zone 265, Whittier, CA Description: 3,700' PVC pipeline and appurtenances, Contract amount: $592,795.00 93% own forces Project Awarded: 4/11/13 Project Completed: 9/6/13 Owner: South Coast Water District 31592 West Street Laguna Beach, CA 92651 POC: Greg Pennington (949) 248-2099 Project Name: Niguel Shores Valve Replacement, Laguna Niguel, CA Description: Replacement of 16 valve clusters within a neighborhood Contract amount: $229,500.00 99% own forces Project Awarded: 8/8/13 Project Completed: 10/10/13 Owner: City of Manhattan Beach 1400 Highland Avenue Manhattan Beach, CA 90266 POC: Gilbert Gamboa (310) 802-5351 Project Name: 2011-12 Water Main Replacement, Manhattan Beach, CA Description: 2,600' 6-8" DIP water main replacement and appurtenances Contract amount: $982,785.00 92% own forces Project Awarded: 3/11/13 Project Completed: 6/10/13 Owner: Rose Hills 3888 S. Workman Mill Road Whittier, CA 90601 POC: Shawn Aylesworth (562) 205-4844 Project Name: Admiration Storm Drain, Rose Hills Memorial Park, Whittier, CA Description: 12" HDPE storm drain with catch basins Contract amount: $200,000.00 98% own forces Project Awarded: 3/11/13 Project Completed 6-7-13 Owner: Golden State Water Company 2143 Convention Center Way, Suite 110 Ontario, CA 91764 POC: Larry Fordham (909) 937-0111 x319 Project Name: New Water Main Installation, El Monte Description: 2,700' DIP pipe and appurtenances Contract amount: $651,300.00 89% own forces Project Awarded: 2/4/13 Project Completed: 5/31/13 Owner: City of Corona Public Works Department 400 S. Vicentia Avenue Corona, CA 92882 POC: Clint Herrera (951) 739-4888 Project Name: City Park Reclaimed Water Line, Corona, CA Description: 4,500' 12" DIP reclaimed water line and appurtenances including 680' 24" steel casing through Cal Trans Right of Way Contract amount: $1,313,800.00 86% own forces Project Awarded: 8/16/12 Project Completed: 1/18/13 Owner: Upper San Gabriel Valley Municipal Water District 602 E. Huntington Drive, Suite B Monrovia, CA 91731 POC: Reymundo Trejo (626) 443-2297 Project Name: City of Industry Ph. 1113 Recycled Project Package 3 Pipeline Description: 22,000' PVC water main recycled water distribution system Contract amount: $2,428,057.00 89% own forces Project Completed: 11/19/12 Owner: Suburban Water Systems 1325 N. Grand Avenue, Suite 200 Covina, CA 91724 POC: Craig Gott (626) 543-2500 Project Name: Acapulco, Greening, Maryknoll &Calmada Pipeline, Whittier, CA Description: 4,650' PVC pipeline and appurtenances Contract amount: $1,098,208.00 91% own forces Project Completed: 11/12/12 Owner: Orange County Public Works 1152 Fruit Street Santa Ana, CA 92705 POC: George Zaun (714) 245-4528 Project Name: Ethelbee Way Storm Drain, Santa Ana, CA Description: 36"/30" RCP storm drain with catch basins Contract amount: $269,196.40 97%own forces Project Completed: 1112112 Owner: Walnut Valley Water District 271 South Brea Canyon Road Walnut, CA 91789 POC: (909) 595-1268 Tai Diep Project Name: Water Main Extension on Amar Road, Walnut, CA Description: Constructed 3,375' 8" DIP and appurtenances Contract amount: $315,675.00 92% own forces Project Completed: 4/27/12 Owner: Golden State Water Company 2143 Convention Center Way, Suite 110 Ontario, CA 91764 POC: (909) 937-0111 Alisa DeHoyos Project Name: West Ojai Avenue Main Install, Ojai, CA Description: 760' DIP water main and appurtenances Contract amount: $191,277.00 93% own forces Project Completed:4/18/12 Owner: Monte Vista Water District 10575 Central Avenue Montclair, CA 91763 POC: Van Jew (909) 624-0035 Project Name: Grand Avenue Pipeline Project, Montclair, CA Description: Constructed 4,500' 6-12" DIP (1444LF 12") and appurtenances Contract amount: $588,806.00 90% own forces Project Completed: 3/29/12 Owner: City of Glendora 116 E. Foothill Boulevard Glendora, CA 91741 POC: (626) 914-8294 Maliha Ansari Project Name: Tressy Avenue-Duel) Street—Linfield Street Water, Improvement Project, Plan No. 1047, Glendora, CA Description: Constructed 2,100' 8" DIP and appurtenances Contract amount: $256,175.00 96% own forces Project Completed: 1/19/12 Owner: SCI 10621 Victory Boulevard North Hollywood, CA 91606 POC: Doug Hardenbrook (909) 825-9248 Project Name: Angel Falls at Westminster Memorial Park, Westminster, CA Description: Instaliation of double depth lawn crypts Contract amount: $81,077.00 93% own forces Project Completed: 12/31/11 Owner: SCI 10621 Victory Boulevard North Hollywood, CA 91606 POC: Doug Hardenbrook (909) 825-9248 Project Name: Jardin Del Angel at Live Oak Memorial Park, Monrovia, CA Description: Vault installation Contract amount: $99,520.00 90% own forces Project Completed: 10/27/11 Owner: City of Ontario 1425 S. Bon View Avenue Ontario, CA 91761 POC: Peter Tran (909) 395-2677 Project Name: Recycled Water Pipeline, Phase III-B, Ontario, CA Description: 4,200' 8-12" PVC Recycled water pipeline and appurtenances Contract amount: $691,141.00 89% own forces Project Completed: 10/25/11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efi ling.dir.ca.gov/P W CR/ActionServlet?action=displayP W CRegistrationFonn DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. �. - ,F-o ber S , 1 Contractor By �TIYn 111 RDb21'ts ffes i Jcnt Title Date: � ��� �''� � DIR#: I DOOOD 280 G11 M l: City of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-5431, Fax(714)374-1573 ADDENDUM NUMBER ONE For 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS, ALLSTONE DRIVE AND GRAHAM STREET, CC NO. 1389 November 3,2016 Notice to All Bidders: 1. The bid due date and time shall remain unchanged. Bids are due on November 15,2016,at 10:00 AM. Bids shall be delivered to the City Clerk's Office. The Bid Opening will be held in the City Council Chambers at 10:00 AM on Tuesday November 15,2016. 2. The project geotechnical investigation was inadvertently omitted from the project specifications. The Geotechnical Investigation Report, City of Huntington Beach Watermain Extension Allstone Drive&Graham Street Huntington Beach,California,by Twining Inc.,dated October 28,2015 is here by incorporated in the project specifications as APPENDIX K. Page vii,the table of contents for the Appendices has been amended as shown herein. 1of1 1` BID BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Hartford,Connecticut 06183 Bond No. 10-B• j Premium Nil KNOW ALL MEN BY THESE PRESENTS, i Thatwe, T.E. Roberts, Inc. as Principal, hereinafter called the Principal,and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, of Hartford, Connecticut, a corporation duly organized under the laws of the State of Connecticut,as Surety,hereinafter called the Surety, are held and firmly bound unto E , City of Huntington Beach I as Obligee, hereinafter called the Obligee, in the sum of ten _percent of amount bid I Dollars($ 10 0 ),for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors,administrators,successors and assigns,jointly and severally, firmly by these presents. ! i WHEREAS, the Principal has submitted a bid for i 8-Inch Water Main Extension Project on State Lands Allstone Drive & Graham Street Project No. CC 1389 NOW,THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall.be null and void, otherwise to remain in full force and effect Signed and sealed this 2 7th.day of October ,2 016 _ T.E. Roberts, I (Witness) (Principal)(Seal) By: Tir�hfJ (idle) TRAVEL RS C UALTY AND SURETY COMPANY OF AMERICA (Witness) By Cha es L'. F la (Attorney-in-Fad), Printed in cooperation with the American Institute of Architects(AIA) by Travelers Casualty and Surety Company of America. The language in this document conforms exactly to the language used in A!A Document A340,February 1.970 edition. S-I869-G,(07-97) I CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT i i I A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On 10/27/2016 before me, Lexie Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Charles L. Flake Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), LEXIE SHERWOOD and that by his/her/their signature(s) on the instrument the COMM.#2031782 person(s), or the entity upon behalf of which the person(s) 0 _ :• NOTARY PUBLIC*CALIFORNIA 0 acted, executed the instrument. a ORANGE COUNTY Comm.Exp.JULY 27,2017 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand an fficial seal. Signature Place Notary Seal Above Signatu of tary P�-ubiie-Lexie_Sherwood OPTIONAL - Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑ General ❑ Attorney in Fact ❑ Attorney in Fact ❑ Trustee • ❑ Trustee 'OF SIGNER ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER POWER OF ATTORNEY TRAVELERS.1 Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company Attorney-In Fact No. 230247 Certificate No. 006674894 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Charles L.Flake,David L.Culbertson,Lexie Sherwood,and Spencer Flake of the City of Anaheim State of California their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 26th day of February 2016 Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company GASU,�� yF\0.E46�Wyk ��1�1 \ ♦••Y%NSUq"t, p1Y A/yQ `Mw SIIB _•rtY yy )` rro �� I•JP:`.-.....,q yJ s ,pda,�FIY �O _ 1 ZT �fOPFP�RA>F tm iW`'GORPORHl'��I^!i Gp � � 4�� 96 c a B 1sS1 �:SEAL.o, '-o.SEAL'so + z i ,0. •'ter 's u r _ �a r + i State of Connecticut By: City of Hartford ss. Robert L.Raney, enior Vice President On this the 26th day of February 2016 before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. 9,C In Witness Whereof,I hereunto set my hand and official seal. " W w� c My Commission expires the 30th day of June,2016. k Made C.Tetreault,Notary Public 01 58440-8-12 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov FB Office of the City Clerk 17,1999 Robin Estanislau, City Clerk January 17, 2017 TK Construction PO Box 9608 San Bernardino, CA 92427 RE: Water Main Extension Project— CC-1389 Enclosed please find your original bid bond for CC-1389. Sincerely, �&4v444d Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand 00 CL T NQ 1 7L> r � � LL LO -2 L Oo a -- oo v � � 2 SECTION C PROPOSAL for the construction of CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefore, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 35 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find 8f ADC 'S QDnio FqQ /0% in the amount of 4�2 OO-which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received er' Ao..Ornature 11 3 Zolfo C-2 SECTION C PROJECT DID SCHEDULE A PROJECT NAME, CC 1389 8-INCH WATER MAIN EXTENSION ON STATE LANDS BID ITEMS J. r i1 Item• (( Description 5" x s Uflit 34 V fA �I Il*:,y a U�mv}ta'C'a ost'�, Tlo vtrall Csklosonn .t.)'` c' . F: 1 Mobilization 1 LS 2 Demobilization and Clean-Up 1 LS o $ 0 3 Erosion Control BMPs,WPCP and SWPPP 1 LS $gpo0�"� $ of 0o0 4 8" DR 18 AWWA C900 PVC Pipe 1300 LF $ '00, 5 Demolish and Remove existing Blow Off Assembly 4 EA pp oo $ 'LDD 0' 6 Disinfection and Pipeline Testing 1 LS $ $ ZDo'--� 7 8"Cut in Valve Assembly 3 EA $ "Ogg 40 $ '/00 — 8 Remove and Replace Existing Asphalt Paving Times °� Trench Width 60 LF $�yO— $ Woo o- 9 Top Soil Salvage, Replacement, and Conditioning 1 LS $ 3S;V0o 0 TOTAL BID AMOUNT(BASIS OF AWARD)-SCHEDULE A $ 27 f,a-2 Q �? TOTAL BID AMOUNT IN WORDS: -7,-o Note: Refer to Section 9, Measure and Payment for description of each Item on Bid Schedule. All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-2.1 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number ao NG By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on it ly i* at SAd QERNAA01Na , 46A ate City State gwi Km—,i.E4 , being first duly sworn, deposes and says that he or she is ARE3/DEA/7 of 'r K CDNSTiguenonl the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. 7—R04 KIRrt ey TK COIVC-r uc id n/ Name of Bidder Signatur f i er sox NO SAA1 ,?EA1VAQ01 N0 , to ?2L{2'-4 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the CC NO. 1389 8-INCH WATER MAIN EXTENSION PROJECT ON STATE LANDS ALLSTONE DRIVE & GRAHAM STREET, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Tl� Con�sT2 vc�I o nJ Contractor y IRC)g KRT-LEy - PRES/DEA) Title Date: 1Ll ZoI!o C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes XNo If the answer is yes, explain the circumstances in the space provided. AlfZA Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. -'FK Comsi-RuCTI©N Contractor By Rwi KiRn_eE - PREs1 oE,-JT Title Date: / AH /Z01(, C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: K1RtLr-j COrLSiRUC-'TtoAJ INC, dboL TK CgwST-Ruc igrJ Bidder Name P.0. f30x °I(00 Business Address SAN .9EIZNRr-Dt(Q0 City, State Zip (qog ) 473 - +n+k;r ileK @ Msn,cony Telephone Number Email Address 81\SO1 - CLASS A State Contractor's License No. and Class 8JZ31 Zo02 Original Date Issued Ci /30 / Zo i 8 Expiration Date The work site was inspected by DAVID Kin1G of our office on NOV. , 201(o. The following are persons, firms, and corporations having a principal interest in this proposal: Toy 6z-rLEy - PREslorivl= Nyio K,n/G - Var Pz&SaOF-N-r PATRIC/A �i2TLEy - -56"6tR2Y/TREAsURE2 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. c T ,� 01 TK Cotiurn�t r:-�o v Company Name Si natur idder IA-off !R LC� Printed or Typed Signature Subscribed and sworn to before me this day of , 201_ . NOTARY PUBLIC SEE AT7-Arc-qED CA(.l F0 RrJ1A AL-L-PUPMSE ACKNOWLEbCnMENT NOTARY SEAL C-8 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of SAN QE2nlRROINO ) � -- On 1 / ZDf(o before me, ✓O.S,EPA f kAtt3a , N)OTRQy QV$LIG ate I/ Here Insert Name and Title of the Officer personally appeared T Dy f'1 iRT-LE q Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(e) whose name(s4 is/ar-e subscribed to the within instrument and acknowledged to me that he/si� executed the same in his/Ae#N+_ir authorized capacity(tea), and that by his/he#N;",ir signatureo on the instrument the person(*, or the entity upon behalf of which the person(*acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. fop . -AMO WITNESS my hand and official seal. OTARY WL NCALIFO887 Z NOTARY PtJBt.IC•CALIFORNIA C9 Si nature SAN BERNARDINO COUNTY 9 MyGww ftirw AXY 24.2020 Signature of Notary P bli Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: &OQSKC F hwFoQ,-14U Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: TQay KrKnz,y Signer's Name: dCorporate Officer — Title(s): PRE-S/DENT ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 Bidder's Project History For the purposes of this project, the bidder shall provide) project history of similar work, specifically referencing the construction of potable water pipelines, located within Caltrans right of way, constructed during night time work hours, with experience deploying and removing traffic control on a daily basis. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: l. City of San Bernardino Municipal Water Department P.O. Box 710, San Bernardino, CA 92402 Name and Address of Public Agency Name and Telephone No. of Project Manager: TED BRUNSON (909) 384 - 5931 $632,349.00 Water Main Replacemant February 2016 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Sheridan Road Water Main Replacement 2. East Valley Water District 31111 Greenspot Road Highland, CA 92346 Name and Address of Public Agency Name and Telephone No. of Project Manager: ELISEO OCHOA (909) 888 - 8986 $737,776.00 Water Pipeline Replacement May 2014 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Plant 137 & Live Oak Road Pipeline Replacement 3. City of Ontario Municipal Utilities 1333 S. Bon View Avenue Ontario CA 91761 Name and Address of Public Agency Name and 'Telephone No. of Project Manager: PETER TRAN (909) 395 - 2677 $1,407,485.00 Water Main Improvements and Installation February 2014 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Euclid Ave. Deodar St. &Various Streets Water Main Improvements C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions. please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. �. Trevor Doyle Name of proposed Project Manager Telephone No. of proposed Project Manager: (909) 362 - 7778 Sheridan Road Water Main Replacement $632,349.00 Water Main Replacement February 2016 Project Name & Contract Amount Type of Work Date Completed Plant 137 & Live Oak Road Pipeline Replacement $737,776.00 Water Pipeline Replacement May 2014 Project Name & Contract Amount Type of Work Date Completed Euclid Ave. Deodar St. &Various Streets Water Main Improvements Water Main Improvements $1,407,485.00 And Installation February 2014 Project Name & Contract Amount Type of Work Date Completed 2. David King Name of proposed Superintendent Telephone No. of proposed Superintendent: (909) 499 - 9576 Sheridan Road Water Main Replacement $632,349.00 Water Main Replacement February 2016 Project Name & Contract Amount "Type of Work Date Completed Plant 137& Live Oak Road Pipeline Replacement $737,776.00 Water Pipeline Replacement May 2014 Project Name & Contract Amount Type of Work Date Completed Euclid Ave. Deodar St. &Various Streets Water Main Improvements Water Main Improvements $1,407,485.00 And Installation February 2014 Project Name & Contract Amount 'Type of Work Date Completed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL. RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet-6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiIing.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. TK CoAj s-rRuc-noAj Contractor By rtZOV Rn.E'1 — P2E'5(DENT Date: I`I /201(, Title DIR#: /00000Z9 Z9 C-11 BID BOND KNOW ALL BY THESE PRESENTS,That we, Kirtley Construction, Inc. dba TK Construction of P.O. Box 9608, San Bernardino, CA 92427 (hereinafter called the Principal),as Principal,and The Ohio Casualty Insurance Company (hereinafter called the Surety),as Surety are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee) in the penal sum of 10% of Bid Amount Dollars(10% of Bid Amount ) for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH,That WHEREAS,the Principal has submitted or is about to submit a proposal to the Obligee on a contract for CC No. 1389 8-Inch Water Main Extension Project on State Lands Allstone Drive & Graham Street NOW, THEREFORE, If the said Contract be timely awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for the faithful performance of the said Contract,then this obligation shall be void; otherwise to remain in full force and effect. Signed and sealed this 10th day of November , 2016 Kirtley Construction, Inc. dba TK Construction p(Seal) SEE 67TAcf{ED CALIFo2,v�4 ALL•PcJ[Z,paE AGKwow4_Fba„4,LCA,7 Principal Witness5 � Title The Ohio Casualty Insurance Company Witness By C'� � _24'P Cynthia,J. Y g, Attor y-in-Fact .-(Y INS& 0J ofkP o a � r `�o m 0x1919� 0 2 Fey �� y+ 0 hAMP`� as yl * fie, LMS-10053 10/99 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of 580 BCN JAFL0 t^I O ) On 11 1119 1 ?-01(0 before me, To3'EPH ARfIujb . A/OTAR% Pu$ur , Date Here Insert Name and Title of the Officer personally appeared Rwy KI RTLEq Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose nameH is/are subscribed to the within instrument and acknowledged to me that he%sheftFtey executed the same in his/Aem4l-eir authorized capacity(iee), and that by his/ P r signature('.)on the instrument the person*, or the entity upon behalf of which the person(* acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JOINM_ W WITNESS my hand and official seal. OTMV sion -CALW 0e67 NtAN B Signature SMI BEi111A 1+10 COUNTY YlyCwWEWbft XY1r.2= Signature of Nota Pub6 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: 1310 BordD Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: T oY K/R r c.E y Signer's Name: 2rCorporate Officer — Title(s): PRES/pEi.If ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California SS. County of San Bernardino On I I )o 1 )(p before me, �[�,(b & ,I AA ,P�L�1 Notary Public Name and Title of Officer(e.g.,"Jane Doe,Nlotary Public") personally appeared Cynthia J Young Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the TABITHA DAVENPORT person, or the entity upon behalf of which the person Commission *2020507 acted, executed the instrument. a - Notary BernaPublic ydino County z 1 certify under PENALTY OF PERJURY under the laws of My Comm.Expires Ma t6,20t7 the State of California that the foregoing paragraph is true and correct. WITNESS m hand and official I. Signature oflToTary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: O Individual Top of thumb here O Corporate Officer Title O Partner -- O Limited O General O Attorney-in-Fact O Trustee O Guardian or Conservator Other: Signer is Representing: THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON.RED BACKGROUND. This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated.' Certificate No. 7048638 American Fire and.Casualty Company Liberty Mutual Insurance Company" The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire&Casualty"Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of. the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and"West American Insurance Company I s a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies');:pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Cynthia J.Younq;Frances Lefler;Jay P.Freeman;Laurie i Druck; Pamela McCarthy;Susan C.`Monteon all of the city of San Bernardino ,state of CA each individually if there be more than one named;its true and lawful attorney-in-fact to make,execute,:seal;acknowledge and deliver,for and on its behalf as surety and as its act and deed,any,and all undertakings bonds,recognizances and othersurety ohligations,`n pursuance ofthese presents and shall be as binding upon the Companies as if they have-been duly signed by the"president and attested by the secretary of the Companies:in their own proper persons: IN WITNESS WHEREOF,this Power of Attorney has been.subscribed:py an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed - thereto this 71i1 day of :July 2015" No cAs w INs� �,Nswz hwsu� American Fire and Casualty Company M Qti�a at G9 JP ahPGRq A9 y� gP)Rq`'� CP BPCZ,�C The Ohio Casualty Insurance C n omp any a Libert Mutual Insurance Company o 1906 1912 WestAmerican iymn Insurance Company N - : OD By:, David M.Carey,Assistant Secretary C STATE OF.PENNSYLVANIA ss ra J- COUNTY OF MONTGOMERY _:o .3 (DI.im On this 71h day of July 2015. before me personally appeared David M. Carey, who acknowledged himself,to be the Assistant Secretary of,American Fire and- .w d Casualty Company,Liberty Mutual Insurance Company,-The Ohio Casualty Insurance Company,and West American Insurance Company,and-that he,as such,being authorized so to do, `y,Cn ~"3 execute the foregoing mstrumentior the purposes therein contained h signing on behalf of the corporations h himself as a dui authorized officer. W pia g 9 P P - Y.g 9 P: Y y L d'>:-1N WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on'ttie day and year first above written. 00 cc 9P PAST COMMONWEALTH OF PENNSYLVANIA /7�^/�/� Q M 3 �' ayw P� Notarial_Seal U \�/�/ '^'�"- et• C - - -:- et titer°� L sa.Pastella,Notary Public - gy,� - � O -"C.L _ - OF. uth Twp,Montgomery.County Teresa-Pastella,.Notary-Publicmission Expires March 28,2017 - 3. :� O Member Pennsylvania Association of Notaries 0 E (D Fly C cc This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company,The Ohio Casualty Insurance.:.of O y Company;Liberty Mutual Insurance Company,and West American_Insurance Company which resolutions are now full force and effect reading:as follows: to ,�0 to:L ARTICLE IV—OFFICERS-Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that.purpose in writing by the Chairman or the President,and subject..O-C 4;- to such limitation.as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact;as may b-e necessary to act in behalf of the Corporation to make,execute seal,:-.`�d C;� acknowledge and deliver assurety any and all undertakings,bonds,recognizances and other surety obligation1.s:L. Such attorneys-in-fact,subject to the limitations set forth igtheir respective":.-a E.'�. powers of attorney,shall have full power to bind the.Corporation by their signature and execution of any such instruments and to-attach thereto the seal-of the Corporation. When so 0'� d C..C5 executed,such instruments-shall be as binding as-'if signed by the President and attested by the Secretary.Any power orauthority granted to any representative or attorney-in-fact under- .5 C the provisions of.this article may be revoked at any time_by"the Board,the Chairman the-President or by the officer or officers granting such power or authority d et _ ARTICLE XIII—Execution of Contracts--SECTION 5.Surety Bonds and Undertakings Any officer of the Company authorized for that purpose in writing byahe chairman or the president, -�a? 4?. and subject to such limitations as the chairman or-the president may prescribe,shall apod such attorneys in-fact,as may he necessary to actin behalf of the Company to make,execute, L-M ._ O �. seal,acknowledge and deliver as surety any and all undertakings,bonds, recognizances and other surety obligations. Such attorneys-n-fact subject to the limitations set forth in their.: 00 Z..v respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments andto attach thereto the seal of the Company.When so -v o executed sucti:instruments shall he as binding as if signed hythe president and attested by the secretary. r Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes Da yid M.Carey,Assistant Secretary to appoint such"attorneys-in fact as may be necessary o act on behalf of the Companyto make.execute,seal,acknowledge and deliver as surety any and all undertakings;bonds,recognizances and other surety: obligations: 4. :Authorization=-By unanimous consent of the Company's Board of Directors,the.Company consents that facsimile or mechanicallyreproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy ofariy power of attorney issued by the Comp 11 anyin connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed - 1,Gregory W.Davenport,the undersigned,Assistant Secretary,of American Fire and Casualty Company,The Ohio Casualty Insurance Com pan y;Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing i'a full,true and correct copy of the Power of Attorney executed by said: Companies is in full force and effect and has not been revoked.IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of r f�u�" 20 �y0CASG. �ZYINS( `: NSUR 41NSU? a 1906 a o 1919:- n 1912 ° ¢ 1991 gy s x v:- ° _ Gregory W.bavenport,Assistant Secretary 0 327.of 500 LMS 12873 122013 ODK(� 10 CITY OF HUNTINGTON BEACH PROJECT NAME: Bolsa Chica Waterline Extension Project CC#: CC 1389 BID OPENING DATE: 11/15/2016 " TIME & LOCATION: 10:00 AM Council Chambers✓ ENGINEER'S ESTIMATE: (Amount Here) BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME FINAL APPARENT BID RANK AMOUNT Bali Construction Inc BF Contracting Engineering 'Zrq R 200 Big Ben Inc ' BWW and Company Cedro Construction GCI CONSTRUCTION, INC L 3 0 -- 00 Gentry General Engineering �psC�d CJC�' JD GRFCO, Inc HYM Engineering, Inc. 1� 3 Lonerock, Inc. Paulus Engineering, Inc. 9Q T K Construction TE Roberts Inc 3 Z( 5T6-�(� DOAr\K �"1 0 7-5-0 PTS 12182014 Version 15 CC1389